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Contact Information

DERMATOLOGY GROUP OF SL PA
15200 SOUTHWEST FWY
SUITE 150
SUGAR LAND, TX77478-3845
 Phone: 281-240-4313
 Fax: 281-240-3646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY GROUP OF SL PA

NPI Number 1790745198
LBN Legal business name DERMATOLOGY GROUP OF SL PA
Authorized official EDWARD ROTAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2006
Last updated 08/11/2010 - About 16 years ago
Identifiers
TX License # N2268
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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