| 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 |