| NPI | 1033325550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNER CHAN CEO 281-425-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX D3267) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX 45D0496518) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-05-12 |