| NPI | 1609484120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ANCIRO Office Manager 214-239-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2023-05-10 |