| NPI | 1497062533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAPHA KIBIRIGE Member 832-492-0762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX N2444) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |