| NPI | 1710071832 |
|---|---|
| Doing Business As | KELLY E. TJELMELAND M. D. |
| Entity Type | Organization |
| Authorized Contact | KELLY E TJELMELAND Owner 512-617-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX J7860) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-05-22 |