Organization
TEXAS SKIN SURGERY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL THOMAS MARTINELLI M.D. (DIRECTOR)
(214) 564-0947
Entity
Organization
Contact information
Practice address
4716 ALLIANCE BLVD., SUITE 150, PLANO, TX 75093
(214) 564-0947
Mailing address
4332 EMERSON AVE, DALLAS, TX 75205-1064
(214) 564-0947
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
L8826
TX
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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