Organization
WEST TEXAS DERMATOLOGY AND SKIN CANCER CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ADAM RAMIREZ MD (PRESIDENT)
(325) 224-5981
Entity
Organization
Contact information
Practice address
3162 APPALOOSA CIR, SAN ANGELO, TX 76901-5225
(325) 224-5981
(325) 224-5986
Mailing address
PO BOX 62701, SAN ANGELO, TX 76906-2701
(325) 224-5981
(325) 224-5986
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
TX
207ND0101X
MOHS-Micrographic Surgery Physician
—
TX
207NP0225X
Pediatric Dermatology Physician
—
TX
207NS0135X
Procedural Dermatology Physician
—
TX
Other
Enumeration date
04/22/2014
Last updated
03/07/2024
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