Organization
DALLAS DERMATOLOGY
Active
Other names
Dermatology Center of Rockwall
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE WALDING (BILLING MANAGER)
(972) 563-8500
Entity
Organization
Contact information
Practice address
2504 RIDGE RD, STE. 203, ROCKWALL, TX 75087-2569
(972) 563-8500
(972) 563-8501
Mailing address
763 E US HIGHWAY 80, STE. 200, FORNEY, TX 75126-8633
(972) 563-8500
(972) 563-8501
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
K8565
TX
207NS0135X
Procedural Dermatology Physician
K8565
TX
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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