| NPI | 1366603359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF OLIVER ANGOBALDO Medical Doctor/Owner 972-378-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX M8498) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2019-10-24 |