| NPI | 1124710363 |
|---|---|
| Doing Business As | BLUE STAR DERMATOLOGY & AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | REID THOMAS MCSWIGGAN Office Manager 972-497-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-31 |