| NPI | 1861289704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SMRITI PRASAD Owner 432-894-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207NS0135X Dermatology Procedural Dermatology | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-08-21 |