| NPI | 1659645083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES POLSEN Owner 281-538-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TX J2902) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |