| NPI | 1053505701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS LYNN HOWARD President 432-563-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: TX H0466) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2008-11-18 |