| NPI | 1780926733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY B CONNER Owner / Authorized Official 281-394-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX P4855) |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2021-05-06 |