NPI | 1174345896 |
---|---|
Doing Business As | WHITE ROCK DERMATOLOLGY |
Entity Type | Organization |
Authorized Contact | CHRISTY C RIDDLE President 214-324-2881 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2024-10-25 |
Last Update Date | 2024-10-28 |