NPI | 1356714505 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA M MORRIS Physician/President 913-485-2191 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: UT 859844-1205) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-10 |