Organization
HIGH PLAINS DERMATOLOGY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD HAGUE (ADMIN)
(806) 355-9866
Entity
Organization
Contact information
Practice address
4302 WOLFLIN AVE, AMARILLO, TX 79106-5959
(806) 355-9866
(806) 355-4004
Mailing address
4302 WOLFLIN AVE, AMARILLO, TX 79106-5959
(806) 355-9866
(806) 355-4004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084882201
—
TX
Enumeration date
05/18/2006
Last updated
10/29/2009
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