Organization
COMPASSION DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY DEBUYS M.D. (PRESIDENT)
(817) 682-8846
Entity
Organization
Contact information
Practice address
3065 W SOUTHLAKE BLVD, STE 140, SOUTHLAKE, TX 76092-6730
(817) 380-5911
Mailing address
2225 W SOUTHLAKE BLVD, STE 423-16, SOUTHLAKE, TX 76092-6750
(817) 380-5911
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N0724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003833658
NPI
TX
Enumeration date
04/29/2013
Last updated
04/29/2013
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