| NPI | 1467826131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ESSARY Owner 936-443-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX K8136) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |