| NPI | 1154598779 |
|---|---|
| Doing Business As | WESTLAKE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | GREGORY A NIKOLAIDIS President 512-328-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2015-11-05 |