| NPI | 1346463619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI D STETLER Pa 214-631-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX K2329) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX H8436) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-06-25 |