| NPI | 1689808941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM ANTONETTI CEO/Surgeon 972-566-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2025-09-23 |