Organization
PREMIER PROCEDURAL DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WILLIAM AHERN MD (PROVIDER/OWNER)
(979) 314-5400
Entity
Organization
Contact information
Practice address
1651 ROCK PRAIRIE RD STE 103, COLLEGE STATION, TX 77845-8652
(979) 314-5400
(979) 704-5603
Mailing address
1651 ROCK PRAIRIE RD STE 103, COLLEGE STATION, TX 77845-8652
(979) 314-5400
(979) 704-5603
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
04/03/2020
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