Organization
DERMATOLOGY & SKIN SURGERY INSTITUTE OF NORTH TEXAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SPENCER MD (PRESIDENT)
(972) 712-5100
Entity
Organization
Contact information
Practice address
3535 VICTORY GROUP WAY STE 200, FRISCO, TX 75034-6721
(972) 712-5100
(972) 712-5113
Mailing address
3535 VICTORY GROUP WAY STE 200, FRISCO, TX 75034-6721
(972) 712-5100
(972) 712-5113
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062SQ
BCBSTX ID NUMBER
TX
Enumeration date
07/01/2009
Last updated
04/14/2021
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