NPI | 1659592517 |
---|---|
Other Name | PLASTIC SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | PONNUSWAMY T SWAMY Owner 903-893-6311 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX E3475) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-22 |