| NPI | 1750508495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NARSETE Physician 372-378-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX L3409) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |