| NPI | 1447702964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FURNISS MORRIS Owner/Physician 817-713-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX H7639) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2017-09-26 |