| NPI | 1508413527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M PHILLIPS President 281-795-9513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |