| NPI | 1609361419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON FRENZEL President 817-342-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX N3650) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX N3650) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-07-24 |