United Dermatology Associates Of Burleson, Pllc

NPI 1457778474 - Dermatology - 207N00000X

NPI Details
NPI 1457778474
Enumeration Date 03/27/2014
Last Updated 03/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ERICA ERICA
Position PRACTICE MANAGER
Phone (817) 261-1122
Fax (817) 261-1123
Practice Location
780 NE ALSBURY BLVD
SUITE B
BURLESON TX, 76028-2641, US
Phone (817) 261-1122
Fax (817) 261-1123
Business Location
2800 E BROAD ST
SUITE 124
MANSFIELD TX, 76063-6410, US
Phone (817) 261-1122
Fax (817) 261-1123
Toxanomy
Taxonomy Code 207N00000X
License State Texas
License Number M1144
Remove 1457778474 NPI Number
 

According to our database, United Dermatology Associates Of Burleson, Pllc NPI is 1457778474, taxonomy code is 207N00000X and license number is M1144, license state is located at Texas. United Dermatology Associates Of Burleson, Pllc physically located at 780 Ne Alsbury Blvd, Burleson TX, 76028-2641. NPI Number 1033115704 has the healthcare provider type.

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1457778474 NPI number is provided on an as is basis without warranty of any kind. 1457778474 is maintained by the National Plan & Provider Enumeration System. The contents of United Dermatology Associates Of Burleson, Pllc are for informational purposes only.