NPI | 1912213778 |
---|---|
Doing Business As | TRINITY VISTA DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | ALLISON BECKWORTH READINGER President 817-885-8222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX M4467) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2022-10-26 |