Organization
NASSAU BAY DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE A PAZ MD (OWNER)
(281) 286-4455
Entity
Organization
Contact information
Practice address
390 E MEDICAL CENTER BLVD, WEBSTER, TX 77598-4321
(281) 286-4455
(281) 286-3366
Mailing address
390 E MEDICAL CENTER BLVD, WEBSTER, TX 77598-4321
(281) 286-4455
(281) 286-3366
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123936001
—
TX
Enumeration date
07/06/2007
Last updated
01/16/2009
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