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Organization

TEXAS SURGICAL DERMATOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRI NGUYEN (MD)
(832) 643-8592
Entity
Organization

Contact information

Practice address
21009 KUYKENDAHL, SUITE A, SPRING, TX 77379-0000
(832) 643-8592
Mailing address
11604 WATERCASTLE CT, PEARLAND, TX 77584-8210

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207NS0135X
Procedural Dermatology Physician

Other

Enumeration date
12/31/2015
Last updated
01/05/2016
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