| NPI | 1689808941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W ANTONETTI President 469-429-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2013-08-08 |