Organization
TEXAS DERMATOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN ALAN MENTER M.D. (PRESIDENT)
(972) 386-7546
Entity
Organization
Contact information
Practice address
3900 JUNIUS ST, SUITE 245, DALLAS, TX 75246-1615
(972) 386-7546
(972) 701-8008
Mailing address
3900 JUNIUS ST, SUITE 245, DALLAS, TX 75246-1615
(972) 386-7546
(972) 701-8008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E5411
TX
Other
Enumeration date
04/24/2007
Last updated
03/20/2008
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