Organization
TEXAS DERMATOLOGY INSTITUTE
Active
Organization
TEXAS DERMATOLOGY INSTITUTE
Active
Other names
Texas Institute of Dermatology, Laser and Cosmetic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. REZA F GHOHESTANI M.D., PH.D. (DIRECTOR)
(210) 846-5350
Entity
Organization
Contact information
Practice address
24165 IH 10 W, SUITE 102, SAN ANTONIO, TX 78257-1159
(888) 884-5557
(210) 547-7913
Mailing address
24165 W IH 10, SUITE 102, SAN ANTONIO, TX 78257-1114
(830) 494-3376
(844) 819-1872
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N0043
TX
Other
Enumeration date
08/11/2009
Last updated
11/09/2016
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