| NPI | 1801052519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD C BUFORD Owner 281-207-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX H8593) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2010-06-10 |