| NPI | 1669545331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE AVRAM WEIDER Plastic Surgeon 972-566-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX J4602) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-03-12 |