Bayside Dermatology PA

NPI #1215160312 in Granbury, Texas

Provider Information

NPI Number: 1215160312
Entity Type: Organization
Organization Name: Bayside Dermatology PA
Primary Specialty: Dermatology
Enumeration Date: Aug 24, 2009
Last Updated: Jan 7, 2010

Practice Location

Address: 1321 WATERS EDGE DR
Address 2: SUITE 1003
City: Granbury
State: Texas
ZIP Code: 76048-2567
Phone: (806) 771-1166

Authorized Official

Name: DR. DONALD JEFFREY BROWN, DO
Title: OWNER/PRINCIPAL
Phone: (806) 771-1166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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