| NPI | 1962075754 |
|---|---|
| Doing Business As | CAL COAST DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE J MARTIN Md/CEO 713-657-5776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |