Organization
ABSOLUTE DERMATOLOGY & MEDI - SPA, PA
Active
Organization
ABSOLUTE DERMATOLOGY & MEDI - SPA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI F HONEYCUTT MD (OWNER)
(512) 257-7600
Entity
Organization
Contact information
Practice address
1103 CYPRESS CREEK RD, STE 100, CEDAR PARK, TX 78613-3925
(512) 257-7600
(512) 257-7604
Mailing address
PO BOX 2166, SAN ANTONIO, TX 78297-2166
(512) 257-7600
(512) 257-7604
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
858930
BCBS
TX
Enumeration date
07/07/2005
Last updated
07/21/2022
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