Magnolia Dermatology of Frisco Pllc

NPI #1821746660 in Frisco, Texas

Provider Information

NPI Number: 1821746660
Entity Type: Organization
Organization Name: Magnolia Dermatology of Frisco Pllc
Primary Specialty: Dermatology
Enumeration Date: Mar 11, 2022
Last Updated: Mar 11, 2022

Practice Location

Address: 13192 DALLAS PKWY STE 620
City: Frisco
State: Texas
ZIP Code: 75033-4248
Phone: (972) 668-3376

Authorized Official

Name: CARLA A. GUSTOVICH, MD
Title: PRESIDENT
Phone: (972) 668-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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