| NPI | 1033730981 |
|---|---|
| Doing Business As | ILLUSTRA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ADRIANNA BROWNE President 281-788-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |