Modern Dermatology Pllc

LBN: Modern Dermatology Pllc
Modern Dermatology Pllc is an health care organization with primary practice located at 3485 Fannin St , Beaumont TX 77701-3807. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Modern Dermatology Pllc can be contacted via phone (409) 835-4790, or through West, Trina via phone (409) 835-4790.

Contact Information

Primary practice address
3485 Fannin St Beaumont TX 77701-3807
Phone: (409) 835-4790
Fax: (409) 835-2496
Website:
Map and Directions
Authorized official contact:
Name: West, Trina
Phone: (409) 835-4790

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X J3153 Texas

Profile Details

NPI number 1356891576
LBN Legal business name Modern Dermatology Pllc
DBA Doing business as
Authorized official West, Trina
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2016
Last updated Oct 12th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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