| NPI | 1528292901 |
|---|---|
| Doing Business As | DERMATOLOGY CLINIC OF WEST TEXAS |
| Entity Type | Organization |
| Authorized Contact | IGOR SINIAKOV President 806-438-8938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX M9660) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |