| NPI | 1922097062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON LEE LIMMER President 210-496-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX J3783) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: TX H8212) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2012-05-29 |