| NPI | 1447432133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUDLEY WINSLOW GOETZ Physician Owner 817-261-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX G1907) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2010-07-15 |