| NPI | 1568753747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA PHYLLIS CHIANG Md 281-829-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX N2439) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: TX N2439) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2016-03-03 |