Organization
MEDICA SKIN DIAGNOSTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA ESSARY M.D. (OWNER)
(936) 443-7504
Entity
Organization
Contact information
Practice address
2046 BEDFORD RD, BEDFORD, TX 76021-5709
(936) 443-7504
Mailing address
126 COLLEGE ST S, KELLER, TX 76248-2316
(936) 443-7504
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
K8136
TX
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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