| NPI | 1699933077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYNARD E GARRETT President 985-847-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA LA12053) |
| Additional Taxonomies | 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: LA LA12053) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |