| NPI | 1730487836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY RAJAN Physcian 817-820-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: TX J9541) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |