| NPI | 1902795883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA FUENTES Hair Restoration Specialist 469-647-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |