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General NPI Number Information
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NPI Number | 1750232583
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Entity Type | Organization
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Legal Business Name | TOTAL DERMATOLOGY BELLAIRE, PLLC
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 6565 WEST LOOP S STE 800
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City | BELLAIRE
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State | TX
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Zip | 77401-3505
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Country | US
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Telephone | 713-305-6600
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Fax | 832-975-8425
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Provider Business Mailing Address
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Address Line | 4811 MAPLE ST
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City | BELLAIRE
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State | TX
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Zip | 77401-5728
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Country | US
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Telephone | 713-305-6600
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Fax | 832-975-8425
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Authorized Official
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Title or Position | MD
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Name | CRAIG FOREST TELLER
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Credential | MD
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Telephone | 713-305-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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