NPI | 1629130380 |
---|---|
Doing Business As | BAY OAKS DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | SHELLEY SEKULA GIBBS President And Owner 281-480-7546 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX G2838) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2008-07-03 |