Organization
HARRISON DERMATOLOGY OF LAKE JACKSON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRISON PHU NGUYEN MD (OWNER)
(832) 392-8889
Entity
Organization
Contact information
Practice address
215 OAK DR S STE W, LAKE JACKSON, TX 77566-5618
(936) 241-0123
(936) 241-0210
Mailing address
6707 W COLLEGE ST, HOUSTON, TX 77005-4322
(832) 392-8889
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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