| NPI | 1598461147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUDAKWASHE MALONEY Medical Director 281-607-7739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2025-02-19 |