| NPI | 1871017913 |
|---|---|
| Other Name | DPSIM |
| Entity Type | Organization |
| Authorized Contact | BRADLEY HUBBARD Owner 214-823-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-07-21 |