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Katy Dermatology, P.a.
Specialist in Katy, Texas
NPI 1346446051

Katy Dermatology, P.a. is a Specialist based in Katy, TX. Katy Dermatology, P.a. practices in Katy, TX. The NPI Number for Katy Dermatology, P.a. is 1346446051 and holds a License No. L5711 (Texas).

The current practice location address for Katy Dermatology, P.a. is 21310 Provincial Blvd, Katy, TX and can be reached out via phone at 281-599-0404 and via fax at 281-599-1655. You can also correspond with Katy Dermatology, P.a. through the mailing address at 21310 PROVINCIAL BLVD, KATY, TX - 77450-7580 (mailing address contact number: 281-599-0404).

Location: 21310 Provincial Blvd, Katy, TX, 77450-7580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346446051
Provider Name
Katy Dermatology, P.a.
Credential
Provider Entity Type
Organization
Address
21310 Provincial Blvd, Katy, TX, 77450-7580
Phone Number
281-599-0404
Fax Number
281-599-1655
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4516713 01 TX CIGNA
168278301 05 TX
0074LM 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
21310 Provincial Blvd
City
Katy
State
Texas
Zip
77450-7580
Phone Number
281-599-0404
Fax Number
281-599-1655
person
Provider Business Mailing Address Details
Address
21310 Provincial Blvd
City
Katy
State
Texas
Zip
77450-7580
Phone Number
281-599-0404
Fax Number
281-599-1655
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L5711 (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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