| NPI | 1184759888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DAVID MCMENEMY Owner, President 281-980-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX G8275) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-23 |