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Organization

MEDICAL ARTS DERMATOLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN M BITLZ M.D. (OWNER)
(903) 875-0413
Entity
Organization

Contact information

Practice address
401 HOSPITAL DR STE 100, CORSICANA, TX 75110-2415
(903) 875-0413
(903) 872-4467
Mailing address
401 HOSPITAL DR STE 100, CORSICANA, TX 75110-2415
(903) 875-0413
(903) 872-4467

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J6338
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225001860
NPI
TX
Enumeration date
10/10/2013
Last updated
10/10/2013
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