| NPI | 1356165237 |
|---|---|
| Doing Business As | GR DERMATOLOGY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ASHLEY A LOPEZ Practitioner 832-808-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-11 |