| NPI | 1235890807 |
|---|---|
| Doing Business As | MAGNOLIA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA JANE ROBARE Owner 832-834-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2023-05-08 |