| NPI | 1639863533 |
|---|---|
| Doing Business As | LIV DERMATOLOGY AND AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | MILTON MOORE Owner 210-504-9668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |