| NPI | 1245496926 |
|---|---|
| Doing Business As | SAN ANTONIO DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LINDA JEAN ROYALL COFFEY Md 210-497-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX G4925) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-04 |