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 |