DERMATOLOGY & PLASTIC SURGERY ASSOCIATION INC. NPI 1023255254

NPI Information

DERMATOLOGY & PLASTIC SURGERY ASSOCIATION, INC. is a specialist in Waco, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERMATOLOGY & PLASTIC SURGERY ASSOCIATION, INC. NPI is 1023255254. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3115 PINE AVE
SUITE 908
WACO, TX
ZIP 76708-247
Phone: (254) 752-2575
Fax: (254) 752-0188

The provider's authorized official is Robert A.m. Gardere .
The authorized official title is President and has the following contact phone number (254) 752-2575.

The enumeration date for this NPI number is 1/9/2009 and was last updated on 1/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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