LADERA PARK DERMATOLOGY PA

AUSTIN, TX
NPI1225567704
Entity TypeOrganization
Authorized ContactADRIENNE M FEASEL
President
512-345-3599
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: TX  L2883)
Enumeration Date2017-06-08
Last Update Date2022-07-21
Business Address
LADERA PARK DERMATOLOGY PA
11671 JOLLYVILLE RD STE 104
AUSTIN, TX 78759-4141
Phone number: 512-345-3599
Mailing Address
LADERA PARK DERMATOLOGY PA
11671 JOLLYVILLE RD STE 104
AUSTIN, TX 78759-4141
Phone number: 512-345-3599
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