Organization
GALVESTON DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON L SANCHEZ M.D. (PRESIDENT)
(409) 763-2452
Entity
Organization
Contact information
Practice address
1399 WEIMER RD, SUITE 200, TAOS, NM 87571-6340
(575) 779-0361
(409) 763-2458
Mailing address
1501 BROADWAY ST, GALVESTON, TX 77550-4906
(409) 763-2452
(409) 763-2458
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD2006-0560
NM
207ND0900X
Dermatopathology Physician
MD2006-0560
NM
Other
Enumeration date
07/19/2008
Last updated
07/19/2008
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