Organization
WARTHAN DERMATOLOGY CENTER
Active
Organization
WARTHAN DERMATOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN R HILL (BILLING)
(817) 923-8220
Entity
Organization
Contact information
Practice address
4730 NE STALLINGS DR, NACOGDOCHES, TX 75965-1615
(936) 564-6107
(936) 564-5124
Mailing address
4730 NE STALLINGS DR, NACOGDOCHES, TX 75965-1615
(936) 564-6107
(936) 564-5124
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D8472
TX
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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