EPIPHANY DERMATOLOGY PA
Osteopathic Medicine at Sanger Ave, Waco, TX

License number
Texas Q1815
Category
Osteopathic Medicine
Type
Dermatology
License number
Texas Q1815
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
Owner
Name: MR. GHEORGHE PUSTA
Title: CEO
Phone: (512) 628-0465
Address
Address 2
7106 Sanger Ave, Waco, TX 76712
6601 Vaught Ranch Rd STE 200, Austin, TX 78730
National Provider ID: 1043615263
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EPIPHANY DERMATOLOGY PA at bizstanding.com

EPIPHANY DERMATOLOGY, PA

7106 New Sanger Rd, Woodway, TX 76712

Doing business as:
Epiphany Dermatology, PA
Registration:
Nov 4, 2014
State ID:
0802098281
Business type:
Professional Association
Director:
Cary Dunn (Director)
Agent:
Cary L. Dunn,7106 Sanger Ave, Woodway, TX 76712 (Physical)
TIN:
32055626918

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