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Organization

CORIUM VENTURES PLLC

Active
Other names
Southeast Texas Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMIT PATEL MD (PRESIDENT)
(409) 729-2262
Entity
Organization

Contact information

Practice address
8525 9TH AVE, PORT ARTHUR, TX 77642-8023
(409) 729-2262
(409) 729-2449
Mailing address
8525 9TH AVE, PORT ARTHUR, TX 77642-8023
(409) 729-2262
(409) 729-2449

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
Q8995
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346553120
TYPE 1 NPI
TX
01
802526676
TX SEC OF STATE FILE ID
TX
Enumeration date
12/06/2017
Last updated
12/06/2022
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