| NPI | 1518932649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA C SLAVIN Practice Administrator 214-818-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX K9795) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-12-16 |