| NPI | 1558419358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULI A SMIDDY Practice Administrator 972-331-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-04-16 |