Dermatology & Plastic Surgery Association, Inc.

NPI #1023255254 in Waco, Texas

Provider Information

NPI Number: 1023255254
Entity Type: Organization
Organization Name: Dermatology & Plastic Surgery Association, Inc.
Primary Specialty: Specialist
Enumeration Date: Jan 9, 2009
Last Updated: Jan 9, 2009

Practice Location

Address: 3115 PINE AVE
Address 2: SUITE 908
City: Waco
State: Texas
ZIP Code: 76708-3247
Phone: (254) 752-2575

Authorized Official

Name: DR. ROBERT A.M. GARDERE, M.D.
Title: PRESIDENT
Phone: (254) 752-2575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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