Organization
WESTLAKE DERMATOLOGY OF DALLAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY NIKOLAIDIS MD (PRESIDENT)
(512) 328-3376
Entity
Organization
Contact information
Practice address
5445 LA SIERRA DR STE 102, DALLAS, TX 75231-3464
(972) 512-4800
(214) 484-9994
Mailing address
8825 BEE CAVES RD STE 100, AUSTIN, TX 78746-4721
(512) 328-3376
(512) 666-3767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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