Organization
SKIN MD PA
Active
Organization
SKIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRACIE DENISE SWAYDEN MD (PRESIDENT)
(817) 595-4500
Entity
Organization
Contact information
Practice address
8820 MARTIN DR, NORTH RICHLAND HILLS, TX 76182-4801
(817) 595-4500
(817) 595-4505
Mailing address
8820 MARTIN DR, NORTH RICHLAND HILLS, TX 76182-4801
(817) 595-4500
(817) 595-4505
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L8526
TX
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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