| NPI | 1013231216 |
|---|---|
| Doing Business As | STONE OAK DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LINDA JANE BANTA Owner/Physician 210-494-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX J3779) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-08-09 |