| NPI | 1770901589 |
|---|---|
| Doing Business As | WESTGATE SKIN & CANCER |
| Entity Type | Organization |
| Authorized Contact | BLAKELY S. RICHARDSON Physician Onwner 214-499-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX P7024) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |