NPI | 1396578654 |
---|---|
Former Legal Business Name | KR DERMATOLOGY, PLLC |
Entity Type | Organization |
Authorized Contact | KELSIE RIEMENSCHNEIDER Owner 214-833-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2024-08-22 |
Last Update Date | 2025-03-31 |