DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DERMATOLOGY PLACE PA

MEDICARE: DERMATOLOGY PLACE 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
1207N00000XDermatology PhysicianG1907TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100H55NOTHERGROUP ID NUMBER

General Provider Information

NPI Number : 1447432133
Entity Type Code : Organization
Provider Name (Legal Business Name) : DERMATOLOGY PLACE PA
Provider Business Mailing Address
First Line : 1000 W RANDOL MILL ROAD
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-2512
Country : US
Telephone Number : 817-261-9665
Fax Number : 817-795-5750
Provider Business Practice Location Address
First Line : 1000 W RANDOL MILL ROAD
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-2512
Country : US
Telephone Number : 817-261-9665
Fax Number : 817-795-5750
Authorized Official
Title or Position : PHYSICIAN OWNER
Name : DR. DUDLEY WINSLOW GOETZ
Credential : DO
Telephone Number : 817-261-9665
Provider Enumeration Date : 12/04/2007
Last Update Date : 07/15/2010

Similar Medicare Providers

1881852754 — MR. JACK J JONES BS
Practice Location Address:
1000 W RANDOL MILL RD
ARLINGTON, TX
76012-2512
Practice Phone: 817-795-6000
Practice Fax:
1922405760 — JACK JORDAN JONES ENTERPRISES
Practice Location Address:
1000 W RANDOL MILL RD
ARLINGTON, TX
76012-2512
Practice Phone: 817-795-6000
Practice Fax: 817-795-6005
1063952398 — WILLIAM LANGSTON
Practice Location Address:
1000 W RANDOL MILL RD
ARLINGTON, TX
76012-2512
Practice Phone: 806-799-1484
Practice Fax:
1669139002 — NORTHLAND HEARING CENTER, INC.
Practice Location Address:
1000 W RANDOL MILL RD
ARLINGTON, TX
76012-2512
Practice Phone: 817-795-6000
Practice Fax:
1508611765 — MR. JOSHUA ENRIQUEZ H.I.S.
Practice Location Address:
1000 W RANDOL MILL RD
ARLINGTON, TX
76012-2512
Practice Phone: 817-795-6000
Practice Fax:
1831924554 — DAVID TRIMBLE
Practice Location Address:
1000 W RANDOL MILL RD
ARLINGTON, TX
76012-2512
Practice Phone: 817-795-6003
Practice Fax:

Directions to “DERMATOLOGY PLACE PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.