| NPI | 1760100101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A HUTCHINGS Administrative Coordinator 713-280-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-02-22 |