Organization
SKIN AND CANCER INSTITUTE TRAVIS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI MD (OWNER)
(661) 388-5240
Entity
Organization
Contact information
Practice address
401 RANCH ROAD 620 S, LAKEWAY, TX 78734-5302
(661) 388-5240
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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