Dermatology and Skin Cancer Clinic PA

NPI #1912098393 in Longview, Texas

Provider Information

NPI Number: 1912098393
Entity Type: Organization
Organization Name: Dermatology and Skin Cancer Clinic PA
Primary Specialty: Dermatology - MOHS-Micrographic Surgery
Enumeration Date: Sep 28, 2006
Last Updated: May 6, 2008

Practice Location

Address: 901 WALNUT HILL DR
City: Longview
State: Texas
ZIP Code: 75605-5054
Phone: (903) 757-8878

Authorized Official

Name: DR. STEPHEN JOHN BECK, MD
Title: OWNER
Phone: (903) 757-8878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X	Primary

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