Dermatology Institute
Dermatology in Duncanville, TX. Organization (NPI-2).
NPI number1124200985
StatusActive
Last updated in NPPESDec 3, 2007
Details
- NPI
- 1124200985
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Institute
- Organization subpart
- No
- Enumeration date
- Dec 3, 2007
- Last updated
- Dec 3, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | G2880 | TX | Yes |
Practice location
706 W Center StDuncanville, TX 75116-4568
Phone 972-780-0707
Mailing address
706 W Center StDuncanville, TX 75116-4568
Phone 972-780-0707
Authorized official
Sandy Mahoney
Office Manager
9727800707
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