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Organization

DERMAGENIX LLC

Active
Parent organization
HOA K VO, MD PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOA K VO, MD PA
Authorized official
DR. HOA K VO MD (OWNER)
(713) 662-3385
Entity
Organization

Contact information

Practice address
6030 S RICE AVE, SUITE A, HOUSTON, TX 77081-2913
(713) 662-3376
(713) 662-3385
Mailing address
6030 S RIVE AVE, SUITE A, HOUSTON, TX 77081-2913
(713) 662-3376
(713) 662-3385

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K9695
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155196201
TX
01
PO0646123
MEDICARE RAILROAD
TX
Enumeration date
10/02/2009
Last updated
10/02/2009
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