NPI age
20 years
Enumerated 2005-07-01
Across 1632 active dermatology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 130805001 | |
| 01 (AR) | P00315699 | RR MEDICARE |
| 05 (TX) | 029802801 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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