| NPI | 1124484456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRI NGUYEN Md 832-643-8592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 202K00000X Phlebology | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2016-01-05 |