| 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 |