ANNAM THE NINTH LP
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1619387842- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2704 N GALLOWAY AVE STE 101, MESQUITE, TX, 751506379
- Phone
- (972) 288-3376
- Fax
- (972) 288-3377
Specialties & Taxonomies
Internal Medicine
License: TX #N4546
Dermatology
Primary License: TX #N4546