Organization
BRYKERWOOD SKIN AND VEIN CENTER PA
Active
Organization
BRYKERWOOD SKIN AND VEIN CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACULEEN ANN DANO MD (DERMATOLOGIST)
(512) 302-4047
Entity
Organization
Contact information
Practice address
1600 W 38TH STREET, SUITE 315, AUSTIN, TX 78731
(512) 302-4047
(512) 302-1629
Mailing address
1600 W 38TH STREET, SUITE 315, AUSTIN, TX 78731
(512) 302-4047
(512) 302-1629
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
TXJ4761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051DR
BCBS
—
Enumeration date
11/07/2006
Last updated
05/18/2024
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