NPI | 1275925869 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE MARIE OWENS Managing Owner 210-541-4884 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207ZD0900X Pathology, Dermatopathology | |
Enumeration Date | 2015-02-19 |
Last Update Date | 2022-04-19 |