Organization
DERMATOLOGY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY MAHONEY (OFFICE MANAGER)
(972) 780-0707
Entity
Organization
Contact information
Practice address
706 W CENTER ST, DUNCANVILLE, TX 75116-4568
(972) 780-0707
Mailing address
706 W CENTER ST, DUNCANVILLE, TX 75116-4568
(972) 780-0707
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G2880
TX
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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