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Dermatology & Plastic Surgery Association, Inc.
Specialist in Waco, Texas
NPI 1023255254

Dermatology & Plastic Surgery Association, Inc. is a Specialist based in Waco, TX. Dermatology & Plastic Surgery Association, Inc. practices in Waco, TX. The NPI Number for Dermatology & Plastic Surgery Association, Inc. is 1023255254 and holds a License No. E7938 (Texas).

The current practice location address for Dermatology & Plastic Surgery Association, Inc. is 3115 Pine Ave, Waco, TX and can be reached out via phone at 254-752-2575 and via fax at 254-752-0188.

Location: 3115 Pine Ave, Waco, TX, 76708-3247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023255254
Provider Name
Dermatology & Plastic Surgery Association, Inc.
Credential
Provider Entity Type
Organization
Address
3115 Pine Ave, Waco, TX, 76708-3247
Phone Number
254-752-2575
Fax Number
254-752-0188
Provider Enumeration Date
01/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1303794-02 05 TX
00CR41 01 TX BLUECROSS BLUESHIELD OF TEXAS
institution
Provider Business Practice Location Address Details
Address
3115 Pine Ave
City
Waco
State
Texas
Zip
76708-3247
Phone Number
254-752-2575
Fax Number
254-752-0188
person
Provider Business Mailing Address Details
Address
3115 Pine Ave
City
Waco
State
Texas
Zip
76708-3247
Phone Number
254-752-2575
Fax Number
254-752-0188
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
E7938 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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