| NPI | 1306668041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRISON PHU NGUYEN Owner 832-392-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |