Organization
BEL-AMI DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY A JOHNSTON (M.D.)
(325) 944-3376
Entity
Organization
Contact information
Practice address
3123 GREEN MEADOW DR, SAN ANGELO, TX 76904-6977
(325) 944-3376
(325) 944-3306
Mailing address
3123 GREEN MEADOW DR, SAN ANGELO, TX 76904-6977
(325) 944-3376
(325) 944-3306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z000080R4
—
TX
Enumeration date
12/05/2006
Last updated
08/22/2020
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