| NPI | 1811229180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEGO E. MARRA Director 817-924-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX M5353) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |