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Grace Ayandibu, MD,MS,LPC
Procedural Dermatology Physician in Wichita Falls, Texas
NPI 1023395928

Grace Ayandibu is a Procedural Dermatology Physician based in Wichita Falls, TX and is specialized in Procedural Dermatology. Grace Ayandibu practices in Wichita Falls, TX and has the professional credentials of MD,MS,LPC. The NPI Number for Grace Ayandibu is 1023395928 and holds a License No. 178007242 (Texas).

The current practice location address for Grace Ayandibu is 2637 Plaza Pkwy, Wichita Falls, TX and can be reached out via phone at 940-239-9160.

Location: 2637 Plaza Pkwy, Wichita Falls, TX, 76308-3889
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023395928
Provider Name
Grace Ayandibu
Credential
MD,MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
2637 Plaza Pkwy, Wichita Falls, TX, 76308-3889
Phone Number
940-239-9160
Fax Number
Provider Enumeration Date
11/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2637 Plaza Pkwy
City
Wichita Falls
State
Texas
Zip
76308-3889
Phone Number
940-239-9160
Fax Number
person
Provider Business Mailing Address Details
Address
2637 Plaza Pkwy
City
Wichita Falls
State
Texas
Zip
76308-3889
Phone Number
940-239-9160
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
T9346 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
()
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
178007242 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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