| NPI | 1497269989 |
|---|---|
| Doing Business As | EVERGREEN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ROBERT LIN Owner 832-437-1763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX P4075) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX P4075) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2023-05-14 |