NPI age
15 years
Enumerated 2011-03-21
Across 1632 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00J14U | MEDICARE PTAN |
| 05 (TX) | 123065802 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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