| NPI | 1376035378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HUMBLE President 281-313-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |