Pediatric Dermatology Of Dallas, Pa in Dallas - Specialist
Pediatric Dermatology Of Dallas, Pa - NPI 1477696466
Pediatric Dermatology Of Dallas, Pa is a Specialist in Dallas, Texas. Pediatric Dermatology Of Dallas, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pediatric Dermatology Of Dallas, Pa is 1477696466. The last update date is 2018-03-20.
Pediatric Dermatology Of Dallas, Pa's current location address is 8315 Walnut Hill Ln Ste 135, Dallas, Texas. You can contact this provider via phone number 2145801011 and fax number 2145801012. The mailing address for Pediatric Dermatology Of Dallas, Pa is 8315 Walnut Hill Ln Ste 135, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dermatology Of Dallas, Pa |
|---|---|
| Address | 8315 Walnut Hill Ln Ste 135, Dallas, Texas |
| Phone Number | 2145801011 |
| Fax Number | 2145801012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Carder Robin Kerry |
| Credentials | MD |
| Telephone Number | 2145801011 |
NPI Number Detail
| NPI Number | 1477696466 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2018-03-20 |
Provider Mailing Address Detail
| Address | 8315 Walnut Hill Ln Ste 135 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752314225 |
| Phone Number | 2145801011 |
| Fax Number | 2145801012 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4021 |
|
Definition: 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. |
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What is the unique 10-digit identifier code assigned to Pediatric Dermatology Of Dallas, Pa by the Centers for Medicare & Medicaid Services?
The Pediatric Dermatology Of Dallas, Pa has been issued the NPI (National Provider Identifier) 1477696466 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pediatric Dermatology Of Dallas, Pa?
The Pediatric Dermatology Of Dallas, Pa is physically situated at 8315 Walnut Hill Ln Ste 135, in the city of Dallas, state of TX, with the postal code 752314225.
What is the Pediatric Dermatology Of Dallas, Pa's area of specialization and corresponding taxonomy classification?
The Pediatric Dermatology Of Dallas, Pa's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did Pediatric Dermatology Of Dallas, Pa receive its 1477696466 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Dermatology Of Dallas, Pa was assigned its 1477696466 on 2007-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Pediatric Dermatology Of Dallas, Pa most recently updated or refreshed?
The details pertaining to the Pediatric Dermatology Of Dallas, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-03-20.
NPI Number: 1962405878
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