Lone Star State Dermatology Clinic PLLC
Lone Star State Dermatology Clinic PLLC provides Procedural Dermatology Physician services in Live Oak, Texas. Licensed in Texas. Registered with an NPI since 2014.
- Licensed in
- TX
- In the registry since
- 2014
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11101 Toepperwein RdLive Oak, TX 78233-3048
Phone: (210) 651-3233
Fax: (210) 651-3234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Procedural Dermatology Physician (primary) | Taxonomy 207NS0135X · Licence K8022 (TX) |
|---|
Record details
| NPI number | 1053723239 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Myra Peacock — Office Manager · (210) 651-3233 |
| NPI enumerated | May 22, 2014 |
| Last updated in NPPES | December 20, 2023 |
| Certification date | December 20, 2023 |
| Mailing address | 11101 Toepperwein Rd, Live Oak, TX 78233-3048 |
Other providers in Live Oak
-
Dr. Jean-Denis Boucher, MD
11101 Toepperwein Rd, Live Oak, TX 78233-3143 · (210) 651-3233