NPI age
20 years
Enumerated 2005-08-31
Across 167 active dermatology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 2E7355 | PTAN |
| 01 (TX) | 0700006740 | RAILROAD MEDICARE |
| 05 (TX) | 131932907 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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