Provider Demographics
NPI:1003035866
Name:HOWSDEN DERMATOLOGY, PA
Entity Type:Organization
Organization Name:HOWSDEN DERMATOLOGY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:LESTER
Authorized Official - Last Name:HOWSDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-278-4992
Mailing Address - Street 1:1919 S SHILOH RD
Mailing Address - Street 2:SUITE 300, LB42
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-8234
Mailing Address - Country:US
Mailing Address - Phone:972-278-4992
Mailing Address - Fax:
Practice Address - Street 1:1919 S SHILOH RD
Practice Address - Street 2:SUITE 300, LB42
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-8234
Practice Address - Country:US
Practice Address - Phone:972-278-4992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0J7015OtherRAILROAD MEDICARE
TX0003BVOtherBLUE CROSS GROUP
TX0003BVMedicare ID - Type UnspecifiedGROUP NUMBER