| NPI | 1841302429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ALICIA PITTMAN-WALLER President 210-826-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX K5666) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |