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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