NPI | 1922143544 |
---|---|
Doing Business As | DERMATOLOGY SOUTHWEST |
Entity Type | Organization |
Authorized Contact | BASEM CHAKER President 817-568-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 641224) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2008-08-13 |