| NPI | 1447458690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MORONES Office Manager 832-358-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |