| 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 |