| NPI | 1780872762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E DOZIER President 512-527-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX h8011) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2012-03-19 |