NPI | 1588922561 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN D. WELLS President 210-347-6715 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207ND0900X Dermatology, Dermatopathology | |
207NS0135X Dermatology, Procedural Dermatology | |
Enumeration Date | 2012-04-27 |
Last Update Date | 2012-05-01 |