Organization
PHOTODERMIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADONNA PHARRIS (OWNER)
(325) 672-4685
Entity
Organization
Contact information
Practice address
3110 N 1ST ST, ABILENE, TX 79603-7004
(325) 672-4685
(325) 672-4693
Mailing address
PO BOX 3784, ABILENE, TX 79604-3784
(325) 672-4685
(325) 672-4693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Enumeration date
08/03/2006
Last updated
07/21/2022
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