| NPI | 1942620554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ADAM RAMIREZ President 325-224-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2024-03-07 |