Organization
BLUE STAR DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CAGLIA MD (OWNER)
(972) 347-1100
Entity
Organization
Contact information
Practice address
301 N PRESTON RD STE D, PROSPER, TX 75078-8878
(972) 347-1100
Mailing address
301 N PRESTON RD STE D, PROSPER, TX 75078-8878
(972) 347-1100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
10/10/2018
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