| NPI | 1699054270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA CARDENAS Administrator 281-741-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: M6030) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2025-10-06 |