Organization
TEXOMA DERMATOLOGY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHHNY CREED STEWART M.D. (PRESIDENT)
(903) 892-2126
Entity
Organization
Contact information
Practice address
815 PECAN GROVE RD E, SHERMAN, TX 75090-1768
(903) 892-2126
(903) 892-2129
Mailing address
815 PECAN GROVE RD E, SHERMAN, TX 75090-1768
(903) 892-2126
(903) 892-2129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L3843
TX
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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