Active NPI 1538138029 Individual Practitioner Female Practitioner

Dr. Sarah B Weitzul , MD

Dermatology - MOHS-Micrographic Surgery • Corinth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sarah Weitzul, MD is a certified Dermatology - MOHS-Micrographic Surgery practicing in Corinth, TX. With approximately 29 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1997, Dr. Weitzul delivers high-quality medical care to the local community at 4851 S I 35 E.

Dr. Weitzul maintains professional affiliations with Surgical Dermatology Associates, Skin Cancer Consultants Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4851 S I 35 E
Suite 101

Corinth, TX 762102348

Telephone 9405910900

Associated Practice Facility / Clinic

🏢 Surgical Dermatology Associates Facility NPI 1992949564

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Corinth, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +1.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Corinth, TX (123 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Weitzul (29 Years) 29 Yrs

Corinth Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	696	546	$1123.00	$641.40
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	586	333	$667.09	$391.89
99213 Established patient office or other outpatient visit, typically 15 minutes	211	166	$117.00	$87.52
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	192	174	$734.00	$228.88
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	184	140	$1024.00	$608.17
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	122	72	$620.00	$379.42
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	81	76	$739.00	$243.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	61	$174.00	$123.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	51	49	$507.00	$227.70
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	46	44	$662.00	$294.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$253.57	$162.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$175.00	$108.03
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	27	26	$464.00	$142.71
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	26	$407.00	$131.52
88331 Pathology examination of specimen during surgery, first tissue block	25	25	$155.00	$97.49
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	19	17	$483.00	$156.69
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	19	$509.00	$151.72
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$268.00	$105.60
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	11	11	$446.00	$136.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	667	532	$1123.00	$647.39
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	591	332	$669.00	$394.74
99213 Established patient office or other outpatient visit, typically 15 minutes	226	177	$117.00	$87.45
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	191	156	$1024.00	$612.68
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	151	142	$734.00	$228.34
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	97	69	$620.00	$384.69
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	80	73	$739.00	$227.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	70	63	$507.00	$211.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	57	$174.00	$123.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$175.00	$108.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$256.14	$161.99
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	27	$662.00	$306.97
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	27	26	$509.00	$153.99
88331 Pathology examination of specimen during surgery, first tissue block	26	24	$155.00	$99.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	23	$464.00	$150.97
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	22	22	$483.00	$157.26
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	20	20	$446.00	$139.41
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	18	$407.00	$156.93
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	11	11	$865.55	$244.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	637	506	$1123.00	$654.57
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	536	316	$669.00	$402.74
99213 Established patient office or other outpatient visit, typically 15 minutes	201	163	$117.00	$89.53
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	165	137	$1024.00	$620.11
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	133	121	$734.00	$246.08
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	79	69	$507.00	$217.48
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	71	48	$620.00	$389.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$175.00	$110.68
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	46	43	$739.00	$232.23
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	40	35	$662.00	$303.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$174.00	$126.99
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	29	$464.00	$155.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$253.44	$165.49
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	27	26	$509.00	$158.73
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	23	21	$483.00	$162.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$70.00	$55.82
88331 Pathology examination of specimen during surgery, first tissue block	19	17	$155.00	$101.62
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	16	$446.00	$145.77
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$407.00	$146.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	734	581	$1123.00	$660.57
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	662	362	$669.00	$410.16
99213 Established patient office or other outpatient visit, typically 15 minutes	155	135	$117.00	$90.65
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	149	141	$734.00	$245.18
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	142	118	$1024.00	$635.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	83	75	$507.00	$217.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$175.00	$111.20
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	58	43	$620.00	$392.70
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	46	43	$739.00	$241.83
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	45	42	$509.00	$170.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$174.00	$128.99
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	40	39	$483.00	$168.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$257.18	$167.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$70.00	$55.87
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	18	$464.00	$164.02
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$407.00	$160.56
88331 Pathology examination of specimen during surgery, first tissue block	16	15	$155.00	$105.12
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$268.00	$92.83
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$446.00	$170.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	645	513	$1123.00	$652.89
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	554	312	$669.00	$395.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	183	126	$70.00	$45.20
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	122	107	$1024.00	$613.19
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	107	100	$734.00	$240.22
99202 New patient office or other outpatient visit, typically 20 minutes	94	94	$120.00	$75.12
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	79	75	$507.00	$225.64
99213 Established patient office or other outpatient visit, typically 15 minutes	64	63	$117.00	$74.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	60	55	$739.00	$246.35
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	55	42	$620.00	$382.46
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	44	42	$509.00	$153.60
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	29	27	$464.00	$142.41
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	27	$662.00	$264.09
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	24	24	$483.00	$158.48
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$407.00	$149.64
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	14	14	$941.00	$273.05
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$268.00	$83.98
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	11	11	$514.00	$200.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	801	616	$1123.00	$636.62
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	785	393	$669.00	$383.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	231	160	$70.00	$43.77
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	185	176	$734.00	$236.88
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	159	128	$1024.00	$597.90
99202 New patient office or other outpatient visit, typically 20 minutes	139	139	$120.00	$74.73
99213 Established patient office or other outpatient visit, typically 15 minutes	90	82	$117.00	$71.82
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	87	56	$620.00	$362.62
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	75	70	$507.00	$228.54
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	73	67	$739.00	$233.96
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	35	34	$509.00	$163.36
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	30	28	$662.00	$248.23
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	26	$407.00	$134.49
88331 Pathology examination of specimen during surgery, first tissue block	26	24	$155.00	$95.91
11102 Tangential biopsy of single skin lesion	16	15	$175.00	$95.01
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	16	$941.00	$251.62
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	14	$483.02	$154.93
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	14	13	$181.00	$111.25
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	12	12	$200.00	$120.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	782	566	$1123.00	$619.84
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	734	360	$669.00	$371.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	239	169	$70.01	$42.51
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	208	177	$734.00	$233.62
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	148	116	$1024.00	$590.77
99202 New patient office or other outpatient visit, typically 20 minutes	136	136	$120.00	$71.89
99213 Established patient office or other outpatient visit, typically 15 minutes	88	84	$117.00	$70.73
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	87	48	$620.00	$360.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	69	64	$507.00	$230.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	66	58	$739.00	$229.71
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	29	29	$509.00	$148.39
88331 Pathology examination of specimen during surgery, first tissue block	27	26	$155.00	$92.38
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	24	23	$662.00	$246.83
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	22	$464.00	$156.47
11100 Biopsy of single growth of skin and/or tissue	19	19	$171.00	$101.34
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	16	$407.00	$127.26
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	16	$941.00	$247.88
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	12	$483.00	$139.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	840	395	$669.00	$372.25
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	750	571	$1123.00	$622.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	190	145	$70.00	$42.06
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	184	163	$734.00	$231.52
99202 New patient office or other outpatient visit, typically 20 minutes	159	159	$120.00	$72.23
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	125	106	$1024.00	$586.72
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	73	54	$620.00	$358.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	69	61	$507.00	$208.71
99213 Established patient office or other outpatient visit, typically 15 minutes	60	55	$117.00	$70.63
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	50	49	$739.00	$221.04
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	45	44	$509.00	$139.69
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	30	29	$941.00	$245.54
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	28	28	$483.00	$143.30
11100 Biopsy of single growth of skin and/or tissue	19	16	$171.00	$93.13
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	17	$446.00	$158.08
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$407.00	$168.29
88331 Pathology examination of specimen during surgery, first tissue block	14	14	$155.00	$94.48

Medical Specialties & State Licenses

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License TX K6515

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

144213902 (TX)

Hospital & Practice Group Affiliations

Surgical Dermatology Associates

4851 S I 35, Corinth, TX 762102348

Phone: 9405910900

Skin Cancer Consultants Pa

12200 Park Central Dr, Dallas, TX 752513210

Phone: 9722396999

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Jennifer Perone , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1508968694

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 07, 2016

Registered at 4851 S I 35 E, SUITE 101, CORINTH, TX 762102348 (Tel: 9405910900)

📍

Updated Business Mailing Address September 07, 2016

Registered at 4851 S I 35 E, SUITE 101, CORINTH, TX 762102348 (Tel: 9405910900)

👤

Provider Name / Credentials Updated September 07, 2016

Recorded as SARAH WEITZUL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2016

Dermatology (License #K6515 in TX)

🟢

Initial NPI Registration & Enumeration March 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538138029

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 16, 2006

Last Update: September 07, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4851 S I 35 E, Suite 101

Corinth, TX 762102348

Phone: 9405910900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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