| NPI | 1831684315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DENNIS ALTMEYER Owner 210-664-4675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: TX N9998) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX N9998) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-10-07 |