| NPI | 1952633927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA M LAQUA Office Manager 361-580-1574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TX J9761) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2012-12-11 |