Organization
MISMO SKIN AND WOUND INSTITUTE TX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMISON FERAMISCO MD, PHD (PRESIDENT)
(214) 621-4303
Entity
Organization
Contact information
Practice address
1303 AUTUMN MIST WAY, ARLINGTON, TX 76005-4533
(214) 621-4303
Mailing address
835 E LAMAR BLVD STE 346, ARLINGTON, TX 76011-3504
(214) 621-4303
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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