| NPI | 1609205137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MARIE FEARMONTI President/Secretary 713-392-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX M4776) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |