All Skin Dermatology, PLLC
Dermatology, Procedural Dermatology in Wichita Falls, TX. Organization (NPI-2).
NPI number1760194443
StatusActive
Last updated in NPPESApr 10, 2023
Details
- NPI
- 1760194443
- Entity type
- Organization (NPI-2)
- Legal business name
- All Skin Dermatology, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 14, 2022
- Certification date
- Apr 10, 2023
- Last updated
- Apr 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207NS0135X | Dermatology, Procedural Dermatology | – | – | Yes |
| 207N00000X | Dermatology | – | – | |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – |
Practice location
2637 Plaza PkwyWichita Falls, TX 76308-3889
Phone 940-239-9160
Mailing address
2637 Plaza PkwyWichita Falls, TX 76308-3889
Phone 940-239-9160
Authorized official
Grace Ayandibu
Medical Director
9402399160
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