Custis, Trenton D
Custis, Trenton D is an individual health care provider with primary practice located at 411 N Washington Ave Ste 4000 , Dallas TX 75246-1776. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Custis, Trenton D can be contacted via phone (214) 987-3376.Contact Information
Primary practice address
411 N Washington Ave Ste 4000
Dallas TX 75246-1776
Phone: (214) 987-3376
Fax: (469) 532-0273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | Q0623 | Texas |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | Q0623 | Texas |
Profile Details
| NPI number | 1356575344 |
|---|---|
| LBN Legal business name | Custis, Trenton D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2009 |
| Last updated | Jun 23rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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