Organization
LOCKHART MATTER MOHS & SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE STEPHENS (PRACTICE ADMINISTRATOR)
(469) 553-1030
Entity
Organization
Contact information
Practice address
5805 COIT RD STE 202, PLANO, TX 75093-6990
(469) 769-3376
(469) 389-3376
Mailing address
5805 COIT ROAD, STE 203, PLANO, TX 75093-6990
(469) 553-1030
(469) 485-1030
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
11/13/2024
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