Dermatherapy of Southeast Texas

NPI #1962941211 in Lumberton, Texas

Provider Information

NPI Number: 1962941211
Entity Type: Organization
Organization Name: Dermatherapy of Southeast Texas
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Feb 20, 2017
Last Updated: Feb 20, 2017

Practice Location

Address: 730 N MAIN ST
Address 2: SUITE A
City: Lumberton
State: Texas
ZIP Code: 77657-7355
Phone: (409) 234-6677

Authorized Official

Name: MR. TRENT C CAMERON, FNP
Title: MEMBER
Phone: (409) 651-4695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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