| NPI | 1427081660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT ANDREW SHOOK Owner President 281-364-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-10-27 |