NPI | 1851770218 |
---|---|
Doing Business As | SOUTH TYLER DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | THOMAS LAMBERT President 903-330-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX N4537) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2015-05-19 |