| NPI | 1891976171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WALLACE BECKERT President 409-892-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX L9621) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |