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 |