| NPI | 1225360050 |
|---|---|
| Former Legal Business Name | PREMIER DERMATOLOGY CENTER, PLLC |
| Entity Type | Organization |
| Authorized Contact | KHANH NGUYEN Owner 832-767-5975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX L8864) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-04-13 |