| NPI | 1912291147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SON XUAN NGUYEN Owner/President 817-468-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2012-07-16 |