| NPI | 1881865236 |
|---|---|
| Doing Business As | LUBBOCK PLASTIC SURGERY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | CHAD RICKY SOUTHARD Administrator 806-797-6398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX L0571) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2016-03-18 |