| NPI | 1487443644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEBBERTO LOPEZ Managing Member 214-997-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-13 |