| NPI | 1013194679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE HARLIN Manager 214-820-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX F2110) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX F2110) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2009-01-21 |