| NPI | 1811314479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN J CORREA President 832-779-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2020-08-11 |