| NPI | 1851511133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S. BARLOW President 281-333-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX M1017) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-11-10 |