| NPI | 1558872952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W GUY Owner 254-405-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX P0727) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-08-24 |