| NPI | 1043236532 | 
|---|---|
| Other Name | DERMATOLOGY & LASER CENTER OF SAN ANTONIO | 
| Entity Type | Organization | 
| Authorized Contact | PATRICIA ANN DOUCET Office Administrator 210-614-3355 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207N00000X Dermatology | 
| Enumeration Date | 2006-07-15 | 
| Last Update Date | 2011-09-12 |