| NPI | 1356536494 |
|---|---|
| Doing Business As | SOUTH TEXAS DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN VINCENT Prqactice Manager 361-882-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX J4105) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2022-07-14 |