| NPI | 1972880433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER L BERLIN President 817-303-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX N3492) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2022-05-17 |