| NPI | 1700953510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY COOK Practice Administrator 972-243-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2009-05-14 |