Organization
TEXAS DERMATOLOGY CENTER PLLC
Active
Organization
TEXAS DERMATOLOGY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY EVERS D.O. (OWNER)
(440) 796-3231
Entity
Organization
Contact information
Practice address
1900 SCENIC DR STE 2208, GEORGETOWN, TX 78626-7703
(512) 868-9800
(512) 868-9811
Mailing address
1900 SCENIC DR STE 2208, GEORGETOWN, TX 78626-7703
(512) 868-9800
(512) 868-9811
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M6125
TX
Other
Enumeration date
07/04/2010
Last updated
07/23/2019
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