| NPI | 1033986393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POOYAN ROHANI Owner 817-888-8524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |