| NPI | 1982762464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODGER B HAGLUND President 325-695-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX AH3222596) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: TX AH3222596) |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: TX AH3222596) | |
| 207N00000X Dermatology (Licence: TX AH3222596) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: TX AH3222596) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: TX AH3222596) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |