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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