| NPI | 1649697236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALESKA MENDOZA Office Manager 915-532-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX G5975) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |