| NPI | 1508253329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEER JEJURIKAR Md/Owner 214-827-2814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |