NPI | 1902796261 |
---|---|
Doing Business As | SKIN101 |
Entity Type | Organization |
Authorized Contact | PHOUNG PHAM CEO 832-649-7939 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-07-08 |
Last Update Date | 2025-07-08 |