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Organization
DALLAS METRO SKIN HEALTH PA
Active
Organization
DALLAS METRO SKIN HEALTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D KHORSANDI DO (OWNER)
(347) 661-6934
Entity
Organization
Contact information
Practice address
4252A OAK LAWN AVE, DALLAS, TX 75219-2312
(214) 253-8690
Mailing address
810 WAUGH DR STE 100, HOUSTON, TX 77019-2013
(347) 661-6934
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194017277
NPI
TX
Enumeration date
11/16/2021
Last updated
11/16/2021
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