| NPI | 1487199360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW A RICHARDSON Owner 469-362-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX Q9496) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |