Organization
BLUE RIBBON DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADER ABOUL-FETTOUH MD (PHYSICIAN)
(469) 331-3242
Entity
Organization
Contact information
Practice address
1150 N WATTERS RD STE 105, ALLEN, TX 75013-5536
(469) 331-3242
(469) 331-3243
Mailing address
1150 N WATTERS RD STE 105, ALLEN, TX 75013-5536
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
12/16/2024
Last updated
07/03/2025
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