Organization
PASADENA DERMATOLOGY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD M SHAPIRO M.D. (PRESIDENT)
(713) 477-8183
Entity
Organization
Contact information
Practice address
1020 PASADENA BLVD, PASADENA, TX 77506-4700
(713) 477-8183
(713) 477-8187
Mailing address
1020 PASADENA BLVD, PASADENA, TX 77506-4700
(713) 477-8183
(713) 477-8187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082532501
—
TX
01
—
CP7295
RAILROAD MEDICARE
TX
Enumeration date
07/21/2005
Last updated
05/13/2008
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