Organization
LIBERTY DERMATOLOGY, PA
Active
Other names
Liberty Dermatopathology
Organization subpart
No
Provider details
NPI number
Authorized official
KIEN T. TRAN MD (PRESIDENT)
(214) 893-9677
Entity
Organization
Contact information
Practice address
7105 LAKEVIEW PKWY STE 100, ROWLETT, TX 75088-4202
(972) 475-5300
(972) 475-5303
Mailing address
PO BOX 601799, DALLAS, TX 75360-1799
(214) 893-9677
(972) 475-5303
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N3356
TX
Other
Enumeration date
10/20/2011
Last updated
10/10/2021
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