| NPI | 1629344833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY KEITH KRUEGER President 214-739-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX K6769) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |