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Contact Information

MAGNOLIA DERMATOLOGY
10547 FRY ROAD
CYPRESS, TX77433
 Phone: 832-834-3349
 Fax: 832-281-0218
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MAGNOLIA DERMATOLOGY

NPI Number 1235890807
LBN Legal business name MAGNOLIA DERMATOLOGY
Authorized official SAMANTHA ROBARE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/06/2022
Last updated 05/08/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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