| NPI | 1740468404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MARIE LEBLANC President 817-698-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX 2086S0122X) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2014-08-18 |