Organization
DANIEL J LADD JR DO PA DBA AUSTIN CENTER FOR SKIN HEALTH AND REJUVENAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOSEPH LADD JR. D.O. (PHYSICIAN)
(512) 451-0139
Entity
Organization
Contact information
Practice address
2 SAINT MARKS PL, #110, LA GRANGE, TX 78945-1251
(512) 451-0139
(512) 323-5880
Mailing address
3500 JEFFERSON ST, #200, AUSTIN, TX 78731-6224
(512) 451-0139
(512) 323-5880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
12/12/2008
Last updated
07/11/2019
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