| NPI | 1235376575 |
|---|---|
| Other Name | SAN ANTONIO SKIN AND CANCER CLINIC |
| Entity Type | Organization |
| Authorized Contact | CONNIE C GIBSON Business Office 210-614-3575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX E1174) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |