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 |