Organization
PURE DERMATOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN KIM (OWNER/MEDICAL DOCTOR)
(972) 827-1130
Entity
Organization
Contact information
Practice address
2005 WEST PARK DRIVE, SUITE 120, IRVING, TX 75061
(972) 827-1130
(972) 597-4290
Mailing address
2005 W PARK DR STE 120, IRVING, TX 75061-2034
(972) 827-1130
(972) 597-4290
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P7657
TX
Other
Enumeration date
12/28/2016
Last updated
08/06/2019
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