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Dfw Skin Surgery Center, PLLC

Dermatology in Arlington, TX. Organization (NPI-2).

NPI number1972880433
StatusActive
Last updated in NPPESMay 17, 2022

Details

NPI
1972880433
Entity type
Organization (NPI-2)
Legal business name
Dfw Skin Surgery Center, PLLC
Organization subpart
No
Enumeration date
Nov 11, 2011
Certification date
May 17, 2022
Last updated
May 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes
207N00000X DermatologyN3492TX
207ND0101X Dermatology, MOHS-Micrographic Surgery––
207NS0135X Dermatology, Procedural Dermatology––

Practice location

1115 W Randol Mill Rd Ste 200
Arlington, TX 76012-2577

Phone 817-303-6647 · Fax 817-303-6651

Mailing address

1115 W Randol Mill Rd
Suite 200
Arlington, TX 76012-2515

Other practice locations

2485 E Southlake Blvd Ste 200
Southlake, TX 76092-6687

Phone 817-303-6647 · Fax 817-303-6651

Authorized official

Alexander L Berlin
President
8173036647

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