| NPI | 1780879346 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ERIC STEPHEN HOLLABAUGH President 972-378-0620 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX H6293) | 
| Enumeration Date | 2007-09-07 | 
| Last Update Date | 2011-03-21 |