NPI | 1477675254 |
---|---|
Doing Business As | RESTORA AUSTIN PLASTIC SURGERY CENTRE |
Entity Type | Organization |
Authorized Contact | DUSTIN L REID Owner 512-371-8817 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX M1314) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX M1314) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2010-01-25 |