| NPI | 1376755819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK CHEN Owner 817-878-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX L9654) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |