Organization
CINCO RANCH DERMATOLOGY, P.A.
Active
Organization
CINCO RANCH DERMATOLOGY, P.A.
Active
Other names
Cinco Ranch Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY B CONNER M.D. (OWNER / AUTHORIZED OFFICIAL)
(281) 394-9500
Entity
Organization
Contact information
Practice address
23050 WESTHEIMER PKWY, KATY, TX 77494-3596
(281) 394-9500
(281) 394-5350
Mailing address
23050 WESTHEIMER PKWY, KATY, TX 77494-3596
(281) 394-9500
(281) 394-5350
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P4855
TX
Other
Enumeration date
03/17/2013
Last updated
05/06/2021
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