| NPI | 1619387842 |
|---|---|
| Doing Business As | MESQUITE MEDICAL AND COSMETIC DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | TINH LE General Partner 816-529-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX N4546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N4546) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-06-10 |