Wyrick Dermatology Association

NPI 1619977295 - Clinic/Center - 261Q00000X

NPI Details
NPI 1619977295
Enumeration Date 07/26/2005
Last Updated 04/09/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SCOTT W SCOTT
Position PRESIDENT
Phone (903) 792-3787
Fax (903) 792-0446
Practice Location
3333 POTOMAC AVE
TEXARKANA TX, 75503-3513, US
Phone (903) 792-3787
Fax (903) 792-0446
Business Location
3333 POTOMAC AVE
TEXARKANA TX, 75503-3513, US
Phone (903) 792-3787
Fax (903) 792-0446
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Wyrick Dermatology Association NPI is 1619977295, taxonomy code is 261Q00000X Wyrick Dermatology Association physically located at 3333 Potomac Ave, Texarkana TX, 75503-3513. NPI Number 1033115704 has the healthcare provider type.

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1619977295 NPI number is provided on an as is basis without warranty of any kind. 1619977295 is maintained by the National Plan & Provider Enumeration System. The contents of Wyrick Dermatology Association are for informational purposes only.