Organization
KEY DERMATOLOGY PLLC
Active
Organization
KEY DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE NGUYEN MD (OWNER)
(817) 898-2188
Entity
Organization
Contact information
Practice address
4949 GOLDEN TRIANGLE BLVD STE 611, FORT WORTH, TX 76244-4456
(817) 898-2188
(817) 439-6055
Mailing address
PO BOX 92424, SOUTHLAKE, TX 76092-0104
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P8959
TX
Other
Enumeration date
04/16/2018
Last updated
08/26/2024
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