Organization
DERMATOLOGY ASSOCIATES OF WEST TEXAS, LLP
Active
Other names
Paulger & Wisniewski Dermatology, LLP
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT R. PAULGER M.D. (PARTNER)
(806) 797-1202
Entity
Organization
Contact information
Practice address
2202 ITHACA AVE, LUBBOCK, TX 79410-1332
(806) 797-1202
(806) 797-4854
Mailing address
2202 ITHACA AVE, LUBBOCK, TX 79410-1332
(806) 797-1202
(806) 797-4854
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J6653 M5588
TX
207ND0101X
MOHS-Micrographic Surgery Physician
J6653 M5588
TX
207ND0900X
Dermatopathology Physician
J6653 M5588
TX
Other
Enumeration date
07/27/2009
Last updated
05/15/2023
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