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1063003754
BASIN DERMATOLOGY
MIDLAND, TX
NPI
1063003754
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Entity Type
Organization
Authorized Contact
CANDACE WYNNE
Credentialing Manager
432-686-6605
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
BASIN DERMATOLOGY
4214 ANDREWS HWY STE 110
MIDLAND, TX 79703-4864
Phone number: 432-689-2491
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Mailing Address
BASIN DERMATOLOGY
4214 ANDREWS HWY STE 240
MIDLAND, TX 79703-4817
Phone number:
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