| NPI | 1376080770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN MOYA Md 214-200-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |