Organization
DERM TEXAS LLC
Active
Organization
DERM TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WARREN MD (MEMBER)
(727) 221-6415
Entity
Organization
Contact information
Practice address
2110 RESEARCH ROW STE 100C, DALLAS, TX 75235-2519
(214) 845-6426
(214) 845-7544
Mailing address
2110 RESEARCH ROW STE 100C, DALLAS, TX 75235-2519
(214) 845-6426
(214) 845-7544
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
07/03/2021
Last updated
12/06/2024
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