Organization
BAYSIDE DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JEFFREY BROWN DO (OWNER/PRINCIPAL)
(806) 771-1166
Entity
Organization
Contact information
Practice address
1321 WATERS EDGE DR, SUITE 1003, GRANBURY, TX 76048-2567
(806) 771-1166
(806) 687-0380
Mailing address
1321 WATERS EDGE DR, SUITE 1003, GRANBURY, TX 76048-2567
(806) 771-1166
(806) 687-0380
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
01/07/2010
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