| NPI | 1487277737 |
|---|---|
| Doing Business As | WISE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW SEWELL President 281-975-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-11-12 |