Organization
INNOVATIVE DERMATOLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEEMAL R DESAI MD (OWNER)
(214) 919-3500
Entity
Organization
Contact information
Practice address
5425 W SPRING CREEK PKWY, SUITE 265, PLANO, TX 75024-4236
(214) 919-3500
(214) 919-3501
Mailing address
5425 W SPRING CREEK PKWY, SUITE 265, PLANO, TX 75024-4236
(214) 919-3500
(214) 919-3501
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N3612
TX
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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