Organization
DERMATOLOGY ASSOCIATES INC
Active
Organization
DERMATOLOGY ASSOCIATES INC
Active
Other names
BEVERLY L HELD MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN C HOLLOWAY (BUSINESS MANAGER)
(361) 993-3193
Entity
Organization
Contact information
Practice address
5756 S STAPLES ST STE J2, CORPUS CHRISTI, TX 78413-3782
(361) 993-3193
(361) 993-3800
Mailing address
5756 S STAPLES ST STE J2, CORPUS CHRISTI, TX 78413-3782
(361) 993-3193
(361) 993-3800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D4148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N148
MEDICARE PROVIDER #
TX
01
—
071900011
MEDICARE RAILROAD
TX
01
—
H0021412
TEXAS CONTROLLED SUBSTANCES
TX
Enumeration date
01/28/2009
Last updated
10/12/2010
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