| NPI | 1245687987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN JERRY CARROLL Physician, Partner 956-740-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q6500) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |