| NPI | 1598356990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI HIX-HERNANDEZ Principal 512-354-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |