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Contact Information

RADIANT DERMATOLOGY FALL CREEK PLLC
9240 N SAM HOUSTON PKWY E
STE 201
HUMBLE, TX77396
 Phone: 832-777-7559
 Fax: 832-777-7541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RADIANT DERMATOLOGY FALL CREEK PLLC · (Female)

NPI Number 1821636564
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2019
Last updated 12/12/2019 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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