| NPI | 1417138157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUJAAT A KHAN President 817-335-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX E5132) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2010-09-07 |