| NPI | 1962219535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER ABOUL-FETTOUH Physician 469-331-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-07-03 |