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Organization

TEXAS DERMATOLOGY SPECIALISTS, PLLC

Active
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Organization

TEXAS DERMATOLOGY SPECIALISTS, PLLC

Active
Other names
Joseph F Sedrak MD PA
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH FAYEZ SEDRAK MD (PHYSICIAN/OWNER)
(713) 771-1100
Entity
Organization

Contact information

Practice address
929 GESSNER RD, SUITE 2205, HOUSTON, TX 77024-2664
(713) 771-1100
(713) 771-1545
Mailing address
929 GESSNER RD, SUITE 2205, HOUSTON, TX 77024-2664
(713) 771-1100
(713) 771-1545

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
207NS0135X
Procedural Dermatology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0078SQ
BCBS
TX
Enumeration date
06/15/2009
Last updated
12/19/2014
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