Organization
NICOLE REED MEDICAL, PLLC
Active
Other names
Center for Dermatology & Cosmetic Laser Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD JOHNSON (MANAGER)
(972) 985-9003
Entity
Organization
Contact information
Practice address
5044 TENNYSON PKWY, STE B, PLANO, TX 75024-2952
(972) 985-9003
(972) 985-1176
Mailing address
5044 TENNYSON PKWY, STE B, PLANO, TX 75024-2952
(972) 985-9003
(972) 985-1176
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L4702
TX
Other
Enumeration date
01/23/2009
Last updated
08/14/2012
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