Prestige Dermatology of Midlothian
NPI #1912549833 in Midlothian, Texas
Provider Information
- NPI Number
- 1912549833
- Entity Type
- Organization
- Organization Name
- Prestige Dermatology of Midlothian
- Primary Specialty
- Dermatology
- Enumeration Date
- Oct 11, 2019
- Last Updated
- Jul 31, 2020
Practice Location
- Address
- 320 HAWKINS RUN RD.
- Address 2
- SUITE 1
- City
- Midlothian
- State
- Texas
- ZIP Code
- 76065
- Phone
- (469) 758-4800
Authorized Official
- Name
- RYAN PHAM
- Title
- MANAGING MEMBER
- Phone
- (817) 718-3571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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