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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