| NPI | 1295448603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN ROBINSON Owner 318-547-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-05-22 |