Organization
DERMATOLOGY ASSOCIATES OF UPTOWN, PA
Active
Other names
Aftergut Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
KENT S AFTERGUT MD.PA (OWNER)
(972) 283-8979
Entity
Organization
Contact information
Practice address
610 UPTOWN BLVD. #102, CEDAR HILL, TX 75104-3507
(972) 283-8979
(972) 283-8988
Mailing address
610 UPTOWN BLVD. #102, CEDAR HILL, TX 75104-3507
(972) 283-8979
(972) 283-8988
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163664902
—
TX
05
—
164468401
—
TX
Enumeration date
03/15/2007
Last updated
04/18/2011
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