| NPI | 1912098393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOHN BECK Owner 903-757-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX F3749) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX F3749) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-05-06 |