| NPI | 1891221636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP SHARMA MOHAN CEO 325-665-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX N8956) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: TX N8956) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |