Organization
ELITE DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE WANG (MD)
(281) 612-0050
Entity
Organization
Contact information
Practice address
4603 FM 1463 RD STE 100, KATY, TX 77494-6545
(281) 612-0050
(281) 612-0051
Mailing address
4603 FM 1463 RD STE 100, KATY, TX 77494-6545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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