Organization
WELLWORX DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PHAM DO (MANAGING MEMBER)
(817) 718-3571
Entity
Organization
Contact information
Practice address
5899 PRESTON RD STE 804, FRISCO, TX 75034-9586
(682) 268-0555
Mailing address
4516 LAKOTA TRL, MANSFIELD, TX 76063-2312
(817) 718-3571
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
11/07/2024
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