| NPI | 1831431055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORUS JONATHAN KURKJIAN President 817-870-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX p3374) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-07-31 |