Organization
STAR DERMATOLOGY PLLC
Active
Organization
STAR DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKECHUKWU OKOLOCHA NP-C (OWNER)
(469) 289-2660
Entity
Organization
Contact information
Practice address
783 N DENTON TAP RD STE 150, COPPELL, TX 75019-2129
(469) 289-2660
Mailing address
783 N DENTON TAP RD STE 150, COPPELL, TX 75019-2129
(469) 289-2660
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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