Basin Dermatology

NPI #1063003754 in Midland, Texas

Provider Information

NPI Number
1063003754
Entity Type
Organization
Organization Name
Basin Dermatology
Primary Specialty
Dermatology
Enumeration Date
Jan 27, 2021
Last Updated
Jan 27, 2021

Practice Location

Address
4214 ANDREWS HWY STE 110
State
Texas
ZIP Code
79703-4864
Phone
(432) 689-2491

Authorized Official

Name
CANDACE WYNNE
Title
CREDENTIALING MANAGER
Phone
(432) 686-6605

Specialties & Taxonomy Codes

Specialty
Dermatology

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