MODERN DERMATOLOGY PLLC

BEAUMONT, TX
NPI1356891576
Entity TypeOrganization
Authorized ContactTRINA WEST
Office Manager
409-835-4790
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: TX  J3153)
Enumeration Date2016-10-12
Last Update Date2016-10-12
Business Address
MODERN DERMATOLOGY PLLC
3485 FANNIN ST
BEAUMONT, TX 77701-3807
Phone number: 409-835-4790
Mailing Address
MODERN DERMATOLOGY PLLC
3485 FANNIN ST
BEAUMONT, TX 77701-3807
Phone number: 409-835-4790
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