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1790745198
DERMATOLOGY GROUP OF SL PA
SUGAR LAND, TX
NPI
1790745198
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Entity Type
Organization
Authorized Contact
EDWARD E. ROTAN
Owner
281-240-4313
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: TX N2268)
Enumeration Date
2006-03-28
Last Update Date
2010-08-11
Business Address
DERMATOLOGY GROUP OF SL PA
15200 SOUTHWEST FWY SUITE 150
SUGAR LAND, TX 77478-3845
Phone number: 281-240-4313
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Mailing Address
DERMATOLOGY GROUP OF SL PA
15200 SOUTHWEST FWY SUITE 150
SUGAR LAND, TX 77478-3845
Phone number: 281-240-4313
Copy
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