| NPI | 1346828225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BILLET Md/Owner 469-922-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-03-31 |