| 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 |