Organization
DERMASURGERY SPECIALIST, PLLC
Active
Other names
Skin Surgery Institute (of DFW)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIRA B MOMIN DO (OWNER/PRESIDENT)
(817) 464-5000
Entity
Organization
Contact information
Practice address
2020 W STATE HIGHWAY 114 STE 340, GRAPEVINE, TX 76051-8650
(817) 464-5000
Mailing address
2728 MCKINNON ST APT 610, DALLAS, TX 75201-1636
(281) 744-6708
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
11/04/2018
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