| NPI | 1720569817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EPIFANIA C ALVARADO Medical Billing Manager 713-621-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX F4727) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-10-08 |