| NPI | 1669087391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA KHAN Oculoplastic Reconstructive Surgeon 972-393-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-10-09 |