| NPI | 1982111399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ERICKSON Operations 832-212-7547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX J4553) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |