Organization
SKIN AND RADIATION SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENU HAUSEN M.D. (MANAGER)
(516) 578-1226
Entity
Organization
Contact information
Practice address
6513 PRESTON RD, SUITE 300, PLANO, TX 75024-2694
(972) 403-9777
(972) 403-9222
Mailing address
55 ORCHARD CT, WOODBURY, NY 11797-2801
(516) 367-3371
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
H9745
TX
Other
Enumeration date
08/25/2015
Last updated
06/08/2016
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