| NPI | 1265765267 |
|---|---|
| Doing Business As | EL PASO DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HOMER SIMPSON President 915-544-3254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX D1052) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX PA04181) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2021-12-07 |