| NPI | 1881565505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW STEVEN BROWN Owner 432-214-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |