Organization
DERMREPUBLIC PLLC
Active
Organization
DERMREPUBLIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EREZ MINKA DO (PRESIDENT)
(512) 920-2456
Entity
Organization
Contact information
Practice address
18830 FORTY SIX PKWY, BLDG 4, SPRING BRANCH, TX 78707
(512) 920-2456
(877) 991-6353
Mailing address
1885 FM 2673 STE H109, CANYON LAKE, TX 78133-4765
(512) 920-2456
(877) 991-6353
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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