| NPI | 1982666434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP LLEWELLYN KELTON Owner President 214-826-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX D7112) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2010-08-20 |