| NPI | 1578133997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN OTOOLE Plastic Surgeon 210-942-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-09-07 |