| NPI | 1932645058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC S ROSENBERGER President 512-717-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |