| NPI | 1053714915 |
|---|---|
| Doing Business As | DERMITECH PHOTOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | JOHN RILEY Owner 214-695-4942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 1001445) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2016-05-05 |