NPI | 1386059491 |
---|---|
Entity Type | Organization |
Authorized Contact | WOODWARD LESLIE COLEMAN Owner/Physician 210-251-4362 |
Organization Subpart ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TX H9053) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX H9053) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2014-06-26 |