| NPI | 1659478196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M GODAT Owner 469-248-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TX M0733) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2013-04-09 |