| NPI | 1619942182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DOUGLAS HOUSTON Owner 512-444-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2011-07-12 |