| NPI | 1760878045 |
|---|---|
| Doing Business As | RIVER PLACE MOHS & DERMATOLOGIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS R SNAVELY Owner 512-767-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |