| NPI | 1134426794 |
|---|---|
| Doing Business As | DERMATOLOGY ALLIANCE - KELLER |
| Entity Type | Organization |
| Authorized Contact | RONALD TODD PLOTT Owner/Physician 817-993-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX H8330) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |