| NPI | 1487169736 |
|---|---|
| Former Legal Business Name | MINDFUL DERMATOLOGY, PA |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CLAY CATHER President 214-476-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX J9860) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2023-09-22 |