NPI 1003350760

Warthan Dermatology Center

Organisation Dermatology Physician Nacogdoches, TX

Practice location

Address: 4730 NE Stallings Dr, Nacogdoches, TX 75965-1615
Phone: (936) 564-6107
Fax: (936) 564-5124

Authorised official

Name: Jaclyn R Hill
Title: Billing
Phone: (817) 923-8220

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence D8472 (TX)

Other Dermatology providers in Texas →

Registry record

NPI: 1003350760
Entity type: Organization
NPI issued: 14 Dec 2016
Record last updated: 14 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.