NPI | 1114682846 |
---|---|
Doing Business As | LOCKHART MATTER DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | MICHELLE STEPHENS Practice Administartor 469-553-1030 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Enumeration Date | 2021-11-08 |
Last Update Date | 2024-06-17 |