| NPI | 1508108887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEOWALL CHATTER-CORA Owner/Md 210-265-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX M3496) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-11-08 |