| NPI | 1992982391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LUNDE Owner 972-985-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX J8037) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2011-08-25 |