# TEXAS SKIN SURGERY CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093031106
- **Authorized official:** DR. PAUL THOMAS MARTINELLI M.D. (DIRECTOR)
- **Authorized official phone:** (214) 564-0947

## Contact information

- **Practice address:** 4716 ALLIANCE BLVD., SUITE 150, PLANO, TX 75093
- **Practice address phone:** (214) 564-0947
- **Mailing address:** 4332 EMERSON AVE, DALLAS, TX 75205-1064
- **Mailing address phone:** (214) 564-0947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | L8826 | TX | Yes |

## Other

- **Enumeration date:** 04/14/2010
- **Last updated:** 04/14/2010