Organization
PERRI DERMATOLOGY, PLLC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JOSEPH PERRI III M.D. (OWNER)
(936) 522-4966
Entity
Organization
Contact information
Practice address
4015 INTERSTATE 45 N STE 200, CONROE, TX 77304-5076
(936) 522-4966
(936) 522-4998
Mailing address
4015 INTERSTATE 45 N STE 200, CONROE, TX 77304-5076
(936) 522-4966
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M6826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315768701
—
TX
Enumeration date
06/07/2012
Last updated
09/01/2023
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