| NPI | 1699179390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM T HAMRA Owner 214-754-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX E1606) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |