| NPI | 1932204955 |
|---|---|
| Other Name | DERMATOLOGY & SKIN LASER CENTER AKA SAN MARCOS DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANA L. RODRIGUEZ President/Physician 512-392-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX H2172) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: TX H2172) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-08-25 |