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General NPI Number Information
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NPI Number | 1629025739
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Entity Type | Organization
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Legal Business Name | PDP OF TEXAS, PLLC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 411 N WASHINGTON AVE STE 4000
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City | DALLAS
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State | TX
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Zip | 75246-1776
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Country | US
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Telephone | 214-987-3376
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Fax | 469-532-0273
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Provider Business Mailing Address
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Address Line | 9900 N CENTRAL EXPY STE 500
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City | DALLAS
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State | TX
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Zip | 75231-0928
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Country | US
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Telephone | 214-987-3376
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Fax | 469-532-0273
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Authorized Official
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Title or Position | M.D.
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Name | JERALD LOUIS SKLAR
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Credential | MD
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Telephone | 214-987-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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