| NPI | 1396267332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKETU PATEL Md 512-930-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-07-21 |