| NPI | 1073584421 |
|---|---|
| Doing Business As | DERMATOLOGY SAN ANTONIO |
| Entity Type | Organization |
| Authorized Contact | STEPHEN MILLER Authorized Official 210-615-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX J7586) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-10-09 |