Organization
SURGICAL DERMATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BETH PERONE M.D. (VICE PRESIDENT)
(646) 554-6324
Entity
Organization
Contact information
Practice address
4851 S I 35 E, SUITE 101, CORINTH, TX 76210-2348
(940) 591-0900
(940) 220-6444
Mailing address
4851 S I 35 E, SUITE 101, CORINTH, TX 76210-2348
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
41532
TX
Other
Enumeration date
04/27/2009
Last updated
08/25/2015
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