Organization
EVERGREEN DERMATOLOGY GROUP PLLC
Active
Organization
EVERGREEN DERMATOLOGY GROUP PLLC
Active
Other names
EVERGREEN DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LIN DO (OWNER)
(832) 437-1763
Entity
Organization
Contact information
Practice address
2222 GREENHOUSE RD STE 1000, HOUSTON, TX 77084-7342
(832) 437-1763
(855) 751-8050
Mailing address
2222 GREENHOUSE RD STE 1000, HOUSTON, TX 77084-7342
(832) 437-1763
(855) 751-8050
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P4075
TX
207ND0101X
MOHS-Micrographic Surgery Physician
P4075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P4075
STATE LICENSE
TX
Enumeration date
11/21/2017
Last updated
05/14/2023
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