FRESH DERMATOLOGY, P.A.
Dermatology in Austin, TX

License number
Texas L8216
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: CANDACE THRASH NGUYEN M.D.
Title: PRESIDENT
Phone: (512) 615-5600
Address
Address
1008 Rr 620 S STE 101, Austin, TX 78734
National Provider ID: 1962838524
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FRESH DERMATOLOGY, P.A. at bizstanding.com

FRESH DERMATOLOGY, PA

1008 Rnch Rd 620 S STE 101, Austin, TX 78734

Status:
Inactive
Doing business as:
Fresh Dermatology, PA<br>Innovative Dermatology of Texas, PA
Registration:
Mar 16, 2011
State ID:
0801398378
Business type:
Professional Association
Director, Member, President, Secretary, Treasurer, Vice-President:
Candace Thrash Nguyen Director, Member, President, Secretary, Treasurer, Vice-President, inactive
Agent:
Thrash Law Firm,3 Lakeway Ctr Ct, Austin, TX 78734 (Physical)
TIN:
32043834624

Dermatology licenses in Texas










Other Doctors licenses in Texas