| NPI | 1558752436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D. CONE Manager 512-600-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2022-08-16 |