Organization
BLUE STAR DERMATOLOGY & AESTHETICS MANAGEMENT LLC
Active
Other names
Blue Star Dermatology & Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
REID THOMAS MCSWIGGAN NONE (OFFICE MANAGER)
(972) 497-4153
Entity
Organization
Contact information
Practice address
3800 GAYLORD PKWY STE 1080, FRISCO, TX 75034-9416
(972) 497-4153
Mailing address
1 COWBOYS WAY STE 100, FRISCO, TX 75034-1977
(972) 497-4153
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/31/2023
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