| NPI | 1265978084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J WELLS President 214-615-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX L2052) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2021-03-17 |