Virt Derm, Pllc

NPI #1437672334 in Mansfield, Texas

Provider Information

NPI Number: 1437672334
Entity Type: Organization
Organization Name: Virt Derm, Pllc
Primary Specialty: Dermatology
Enumeration Date: Jul 23, 2017
Last Updated: Jul 29, 2020

Practice Location

Address: 4516 LAKOTA TRL
City: Mansfield
State: Texas
ZIP Code: 76063-2312
Phone: (281) 686-3665

Authorized Official

Name: RYAN PHAM
Title: MANAGING MEMBER
Phone: (817) 718-3571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Organizations

Provider Name	Specialty	City
Mansfield Dermatology, Pllc	Dermatology	Mansfield	AI Deep Dive

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