NPI | 1659825602 |
---|---|
Entity Type | Organization |
Authorized Contact | CHELSEA COMBS Clinical Director/Principal 512-377-1142 |
Organization Subpart ? | No |
Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: TX M0454) |
Enumeration Date | 2016-08-08 |
Last Update Date | 2018-11-05 |