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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

NPI # 1821636564
LBN Legal business name RADIANT DERMATOLOGY FALL CREEK PLLC
Authorized official LIET LE - (OWNER/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2019
Last updated 12/12/2019 - About 6 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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