Organization
CENTRAL TEXAS DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA PETRIE BILLER (BILLER/CREDENTIALER)
(512) 327-8449
Entity
Organization
Contact information
Practice address
102 WESTLAKE DR, #100, WEST LAKE HILLS, TX 78746
(512) 327-7779
Mailing address
102 WESTLAKE DR, STE 100, WEST LAKE HILLS, TX 78746-5373
(512) 327-7779
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F4405
TX
Other
Enumeration date
02/20/2007
Last updated
09/13/2023
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