| NPI | 1043683873 |
|---|---|
| Doing Business As | HEALTHCARE EXPRESS DERMATOLOGY & AGE MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L REYNOLDS Managing Partner 903-791-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2020-10-07 |