| NPI | 1407441918 |
|---|---|
| Doing Business As | COASTAL COSMETIC AND PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CASSIDY DOUGLAS WRIGHT HINOJOSA Employer/Md 361-402-9819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-06-01 |