Photodermic, Inc.

NPI 1003823618 - Specialist - 174400000X

NPI Details
NPI 1003823618
Enumeration Date 08/03/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LADONNA LADONNA
Position OWNER
Phone (325) 672-4685
Fax (325) 672-4693
Practice Location
3110 N 1ST ST
ABILENE TX, 79603-7004, US
Phone (325) 672-4685
Fax (325) 672-4693
Business Location
PO BOX 3784
ABILENE TX, 79604-3784, US
Phone (325) 672-4685
Fax (325) 672-4693
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number =========
Remove 1003823618 NPI Number
 

According to our database, Photodermic, Inc. NPI is 1003823618, taxonomy code is 174400000X and license number is =========, license state is located at Texas. Photodermic, Inc. physically located at 3110 N 1st St, Abilene TX, 79603-7004. NPI Number 1033115704 has the healthcare provider type.

1003823618 NPI number is provided on an as is basis without warranty of any kind. 1003823618 is maintained by the National Plan & Provider Enumeration System. The contents of Photodermic, Inc. are for informational purposes only.