Organization
SPICEWOOD DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FENG JENG (PRACTICE MANAGER)
(512) 331-7300
Entity
Organization
Contact information
Practice address
13642 N. HWY 183, BLDG 2 STE 100, AUSTIN, TX 78750
(512) 331-7300
(512) 331-7318
Mailing address
13642 N. HWY 183, BLDG 2 STE 100, AUSTIN, TX 78750
(512) 331-7300
(512) 331-7318
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L4986
TX
Other
Enumeration date
01/26/2007
Last updated
04/16/2013
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