| NPI | 1649509548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD C WINEGAR Vice President 512-454-0392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck | |
| 207YX0901X Otolaryngology Otology & Neurotology | |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery | |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2022-08-24 |