| NPI | 1659401024 |
|---|---|
| Doing Business As | WESTLAKE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | GREGORY A NIKOLAIDIS President 512-328-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-05-22 |