NPI age
17 years
Enumerated 2009-04-28
Across 18 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 340229902 | |
| 05 (TX) | 340229901 |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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