REVIVAL DERMATOLOGY PLLC

DALLAS, TX
NPI1679149702
Entity TypeOrganization
Authorized ContactLISA GUIDRY PRUETT
President
504-319-1407
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2021-05-30
Last Update Date2021-06-11
Business Address
REVIVAL DERMATOLOGY PLLC
8201 PRESTON RD STE 440
DALLAS, TX 75225-6209
Phone number: 214-675-3227
Mailing Address
REVIVAL DERMATOLOGY PLLC
8201 PRESTON RD STE 440
DALLAS, TX 75225-6209
Phone number: 214-675-3227
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