Individual
LYNNE WURTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10611 GARLAND RD STE 210, DALLAS, TX 75218-2695
(214) 324-2881
(214) 328-4084
Mailing address
10611 GARLAND RD STE 210, DALLAS, TX 75218-2695
(214) 324-2881
(214) 328-4084
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F4068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141168801
—
TX
Enumeration date
04/27/2006
Last updated
04/09/2012
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