| NPI | 1033485669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MORRELL President/Owner 409-898-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX M8197) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: TX M8197) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-08-23 |