Lone Star State Dermatology Clinic Pllc
NPI #1053723239 in Live Oak, Texas
Provider Information
- NPI Number
- 1053723239
- Entity Type
- Organization
- Organization Name
- Lone Star State Dermatology Clinic Pllc
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- May 22, 2014
- Last Updated
- Dec 20, 2023
Practice Location
Authorized Official
- Name
- MYRA PEACOCK
- Title
- OFFICE MANAGER
- Phone
- (210) 651-3233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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