PREMIER DERMATOLOGY, PLLC
Dermatology at Hickory St, Abilene, TX

License number
Texas N8206
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. JAMES LANDERO D.O.
Title: PRESIDENT
Phone: (325) 677-7546
Address
Address
1525 Hickory St, Abilene, TX 79601
National Provider ID: 1851720056
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PREMIER DERMATOLOGY, PLLC

1525 Hickory St, Abilene, TX 79601

Doing business as:
Premier Dermatology, Pllc
Registration:
Oct 29, 2013
State ID:
0801877176
Business type:
Domestic Limited Liability Company (LLC)
PRESIDENT, President:
James Landero (PRESIDENT, President), 1525 Hickory St, Abilene, TX 79601
Agent:
James L Landero,1525 Hickory St, Abilene, TX 79601 (Physical)
TIN:
32052381541

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