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Individual

AVERED DEARL DOTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18540 SIGMA ROAD, SAN ANTONIO, TX 78258-3280
(210) 490-4661
(210) 490-4795
Mailing address
18540 SIGMA RD., SAN ANTONIO, TX 78258-3280
(210) 490-4661
(210) 490-4795

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F0979
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8A5036
PTAN
TX
Enumeration date
08/03/2006
Last updated
02/07/2014
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