NPI | 1104917384 |
---|---|
Former Legal Business Name | DR AH RUDOLPH OR SH ALDAMA PA |
Entity Type | Organization |
Authorized Contact | FARAH SHAH President 713-790-0058 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2006-09-27 |
Last Update Date | 2024-09-04 |