NPI age
19 years
Enumerated 2006-06-16
Across 55 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (CA) | 00A926490 | |
| 05 (CA) | GR0058760 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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