NPI | 1780926733 |
---|---|
Doing Business As | CINCO RANCH DERMATOLOGY |
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 |