| NPI | 1114363488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUNJAN MODI Physician 281-250-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX N6931) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-09-18 |