Organization
LAKEWOOD DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK HENRY MCDONOUGH MD (PRESIDENT)
(214) 463-8328
Entity
Organization
Contact information
Practice address
6162 E MOCKINGBIRD LN, STE. 120, DALLAS, TX 75214-2697
(214) 463-8328
Mailing address
6162 E MOCKINGBIRD LN, STE. 120, DALLAS, TX 75214-2697
(214) 463-8328
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
Q6655
TX
Other
Enumeration date
03/11/2016
Last updated
11/08/2016
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