| NPI | 1598983694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L WALKER Owner 830-997-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX F2090) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-10-26 |