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Dermatology And Skin Cancer Center Of Wichita Falls PLLC

Dermatology, MOHS-Micrographic Surgery in Wichita Falls, TX. Organization (NPI-2).

NPI number1164860599
StatusActive
Last updated in NPPESJun 7, 2013

Details

NPI
1164860599
Entity type
Organization (NPI-2)
Legal business name
Dermatology And Skin Cancer Center Of Wichita Falls PLLC
Organization subpart
No
Enumeration date
Jun 7, 2013
Last updated
Jun 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0101X Dermatology, MOHS-Micrographic Surgery––Yes

Practice location

4327 Barnett Rd
Wichita Falls, TX 76310-2303

Phone 940-687-3376 · Fax 940-687-3377

Mailing address

4327 Barnett Rd
Wichita Falls, TX 76310-2303

Phone 940-687-3376 · Fax 940-687-3377

Authorized official

Daniel L Christiansen
Sole Owner/Member
9406873376

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