NPI 1063178846

Dallas Metro Skin Health PA

Organisation General Practice Physician Dallas, TX

Practice location

Address: 4252a Oak Lawn Ave, Dallas, TX 75219-2312
Phone: (214) 253-8690
Mailing address: 810 Waugh Dr STE 100, Houston, TX 77019-2013

Authorised official

Name: Mark D Khorsandi
Title: Owner
Phone: (347) 661-6934

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1063178846
Entity type: Organization
NPI issued: 16 Nov 2021
Record last updated: 16 Nov 2021

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.