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 |