| NPI | 1982977872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILEEMON ERIC PAYNE Craniofacial Surgeon 713-461-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX P0027) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2020-08-19 |