Organization
ADVANCED DERMATOLOGIC SURGERY PA
Active
Organization
ADVANCED DERMATOLOGIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE L ANDERSON M.D. (OWNER)
(214) 420-0650
Entity
Organization
Contact information
Practice address
1213 HERMANN DR, SUITE #650, HOUSTON, TX 77004-7018
(713) 528-8882
(713) 528-8883
Mailing address
5310 HARVEST HILL RD SUITE 290, DALLAS, TX 75320-5826
(214) 420-0650
(214) 736-0512
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
M6002
TX
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
02/09/2007
Last updated
11/13/2019
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