| NPI | 1568643500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIELA SANTOS Receptionist 817-336-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2010-10-08 |