Organization
LAS COLINAS DERMATOLOGY PA
Active
Organization
LAS COLINAS DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON ADAMS BLACK M.D. (OWNER)
(972) 432-0300
Entity
Organization
Contact information
Practice address
440 W IH 635 FWY, 365, IRVING, TX 75063-3768
(972) 432-0300
(972) 432-0874
Mailing address
440 W IH 635 FWY, 365, IRVING, TX 75063-3768
(972) 432-0300
(972) 432-0874
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J1878
TX
Other
Enumeration date
09/06/2007
Last updated
03/29/2010
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