| NPI | 1083769467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN HAYWOOD Accounts Manager 817-379-5381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX F9311) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-08-26 |