Organization
DERMATOLOGY GROUP OF SL PA
Active
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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