Dallas Dermatology

NPI #1568749299 in Greenville, Texas

Provider Information

NPI Number: 1568749299
Entity Type: Organization
Organization Name: Dallas Dermatology
Primary Specialty: Dermatology
Enumeration Date: Nov 9, 2011
Last Updated: Nov 7, 2013

Practice Location

Address: 4724 WELLINGTON ST
City: Greenville
State: Texas
ZIP Code: 75401-4944
Phone: (972) 563-8500

Authorized Official

Name: CANDACE WALDING
Title: BILLING MANAGER
Phone: (972) 563-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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