# ADVANCED SKIN TREATMENT CENTER

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

## Provider details

- **NPI number:** 1205939436
- **Authorized official:** ELAINE R COOK M.D. (PRESIDENT)
- **Authorized official phone:** (806) 358-1117

## Contact information

- **Practice address:** 2609 WOLFLIN VLG, AMARILLO, TX 79109-1838
- **Practice address phone:** (806) 358-1117
- **Mailing address:** 2609 WOLFLIN VLG, AMARILLO, TX 79109-1838
- **Mailing address phone:** (806) 358-1117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | J5732 | TX | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 08/21/2007