| NPI | 1649655341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KWON Owner 214-502-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: TX N8806) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX N8806) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |