| NPI | 1437664067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA RIDENHOUR COO 512-688-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |