Organization
DERMATOLOGY SPECIALISTS, PA
Active
Organization
DERMATOLOGY SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDALEE S KRUEGER (OFFICE MGR)
(972) 699-0000
Entity
Organization
Contact information
Practice address
3005 E. RENNER ROAD, SUITE 100, RICHARDSON, TX 75082
(792) 699-0000
(972) 699-0004
Mailing address
3005 E RENNER RD, SUITE 100, RICHARDSON, TX 75082-3505
(972) 699-0000
(972) 699-0004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
L0877
TX
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
12/23/2009
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