Registry details
Type
Individual
Primary specialty
Dermatology, MOHS-Micrographic Surgery
Enumerated
Jun 11, 2018
License(s)
T6502 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1977 BUTLER BLVD # E6.200 | Houston, TX 77030-4101 | 713-791-1414 |
| LOCATION | 1977 BUTLER BLVD # E6.200 | Houston, TX 77030-4101 | 713-791-1414 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.