Provider Demographics
NPI:1851864854
Name:AUSTIN & REDDICK DERMATOLOGY, PLLC
Entity type:Organization
Organization Name:AUSTIN & REDDICK DERMATOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:S
Authorized Official - Last Name:REDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-808-1816
Mailing Address - Street 1:4321 COLGATE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6632
Mailing Address - Country:US
Mailing Address - Phone:214-808-1816
Mailing Address - Fax:
Practice Address - Street 1:9301 N CENTRAL EXPY STE 470
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0806
Practice Address - Country:US
Practice Address - Phone:214-808-1816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty