MEDICARE: HOWSDEN DERMATOLOGY, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0J7015	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0003BV	OTHER	TX	BLUE CROSS GROUP

General Provider Information

NPI Number	:	1003035866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWSDEN DERMATOLOGY, PA

Provider Business Mailing Address
First Line	:	1919 S SHILOH RD
Second Line	:	SUITE 300, LB42
City	:	GARLAND
State	:	TX
Zip	:	75042-8234
Country	:	US
Telephone Number	:	972-278-4992
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 S SHILOH RD
Second Line	:	SUITE 300, LB42
City	:	GARLAND
State	:	TX
Zip	:	75042-8234
Country	:	US
Telephone Number	:	972-278-4992
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY TREASURER
Name	:	DR. FLOYD LESTER HOWSDEN
Credential	:	M.D.
Telephone Number	:	972-278-4992

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	10/25/2007

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Directions to “HOWSDEN DERMATOLOGY, PA ” Practice Location

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