NPI | 1811164296 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM KEITH MILES President 817-336-9131 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX D2529) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2008-05-14 |