LADERA PARK DERMATOLOGY, P.A.

AUSTIN, TX
NPI1417010935
Entity TypeOrganization
Authorized ContactJANET C DUBOIS
President
512-345-3599
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2006-12-18
Last Update Date2013-02-27
Business Address
LADERA PARK DERMATOLOGY, P.A.
11671 JOLLYVILLE RD STE 104
AUSTIN, TX 78759-4141
Phone number: 512-345-3599
Mailing Address
LADERA PARK DERMATOLOGY, P.A.
11671 JOLLYVILLE RD STE 104
AUSTIN, TX 78759-4141
Phone number: 512-345-3599