Organization
DERMATOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY COOK (PRACTICE ADMINISTRATOR)
(972) 243-4530
Entity
Organization
Contact information
Practice address
9 MEDICAL PKWY, SUITE 105, DALLAS, TX 75234-7858
(972) 243-4530
(972) 406-1950
Mailing address
9 MEDICAL PKWY, SUITE 105, DALLAS, TX 75234-7858
(972) 243-4530
(972) 406-1950
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
11/29/2006
Last updated
05/14/2009
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