FRISCO DERMATOLOGY ASSOCIATES
Ambulatory Health at Parkwood Blvd, Frisco, TX

License number
Texas M2776
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: TIMOTHY RODGERS
Title: PRESIDENT
Phone: (972) 704-2400
Address
Address
3880 Parkwood Blvd SUITE 102, Frisco, TX 75034
National Provider ID: 1427162122
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FRISCO DERMATOLOGY ASSOCIATES

3880 Parkwood Blvd STE 102, Frisco, TX 75034

Doing business as:
Frisco Dermatology Associates
Registration:
Oct 7, 2004
State ID:
0800399253
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Timothy Gale Rodgers (President , Treasurer , Secretary , Director , Member , Vice-President)
Agent:
Timothy Rodgers,3880 Parkwood Blvd SUITE 102, Frisco, TX 75034 (Physical)
TIN:
32035527210

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