| NPI | 1467581439 |
|---|---|
| Doing Business As | MID-CITIES DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID MILLER Owner 817-684-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX D7189) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-12-28 |