Dallas Dermatology, LLC

NPI #1760495352 in Forney, Texas

Provider Information

NPI Number: 1760495352
Entity Type: Organization
Organization Name: Dallas Dermatology, LLC
Primary Specialty: Dermatology
Enumeration Date: Aug 14, 2006
Last Updated: Mar 14, 2014

Practice Location

Address: 763 E US HIGHWAY 80
Address 2: SUITE 200
City: Forney
State: Texas
ZIP Code: 75126-8633
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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