Organization
WARTHAN DERMATOLOGY NACOGDOCHES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN R HILL (PRACTICE MANAGER)
(817) 923-8220
Entity
Organization
Contact information
Practice address
4730 NE STALLINGS DR, NACOGDOCHES, TX 75965-1615
(936) 564-6107
(936) 564-5124
Mailing address
4730 NE STALLINGS DR, NACOGDOCHES, TX 75965-1615
(817) 923-8220
(817) 923-9004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
10/28/2020
Last updated
03/14/2023
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