Organization
DERMATOLOGY GROUP OF SL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD E. ROTAN JR. M.D. (OWNER)
(281) 240-4313
Entity
Organization
Contact information
Practice address
15200 SOUTHWEST FWY, SUITE 150, SUGAR LAND, TX 77478-3845
(281) 240-4313
(281) 240-3646
Mailing address
15200 SOUTHWEST FWY, SUITE 150, SUGAR LAND, TX 77478-3845
(281) 240-4313
(281) 240-3646
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N2268
TX
Other
Enumeration date
03/28/2006
Last updated
08/11/2010
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