Active NPI 1861595449 Individual Practitioner Male Practitioner

Dr. Lucius Pinckney Cook , MD

Dermatology • Dallas, TX

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Lucius Cook, MD is a registered Dermatology practitioner in Dallas, TX. With approximately 56 years of clinical practice since graduating from University Of Tennessee, Hsc, College Of Medicine in 1970, Dr. Cook provides healthcare services at the registered practice location at 7777 FOREST LN.

Dr. Cook accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, pathology examination of tissue using a microscope, intermediate complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7777 Forest Ln
#b-218

Dallas, TX 752306811

Telephone 9725667655

Fax 9725663853

Associated Practice Facility / Clinic

🏢 Lee Ann Pearse, M.d., P.a. Facility NPI 1063417236

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1970

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Dallas, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

56 Yrs +33.8 yrs vs City Avg

City Avg: 22.2 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

109 Specialists

Practicing in Dallas, TX (1210 Statewide)

Telehealth Adoption Rate

9.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

17.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cook (56 Years) 56 Yrs

Dallas Specialty Average (22.2 Years) 22.2 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
17003 Destruction of precancer skin growth, 2-14 growths	490	112	$10.29	$6.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	364	280	$55.00	$51.07
88305 Pathology examination of tissue using a microscope, intermediate complexity	301	124	$49.37	$21.96
99213 Established patient office or other outpatient visit, typically 15 minutes	270	221	$84.67	$78.21
17000 Destruction of skin growth	232	172	$65.69	$49.08
17110 Destruction of up to 14 skin growths	226	186	$122.43	$102.89
11102 Tangential biopsy of single skin lesion	104	89	$93.75	$78.97
17111 Destruction of skin growth, 15 or more growths	95	81	$140.00	$122.78
17004 Destruction of precancer skin growth, 15 or more growths	55	43	$175.00	$154.24
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$95.00	$67.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	43	22	$5.81	$0.98
10040 Acne surgery	25	24	$115.40	$98.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$121.82	$102.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	14	$179.74	$142.68
10060 Simple or single drainage of skin abscess	17	17	$125.59	$115.99
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$202.33	$168.51
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	15	13	$189.67	$154.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	12	$30.71	$13.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$107.14	$97.92
11104 Punch biopsy, first skin growth	11	11	$129.09	$109.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	492	112	$10.12	$6.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	409	308	$56.01	$54.16
88305 Pathology examination of tissue using a microscope, intermediate complexity	348	147	$48.95	$24.19
99213 Established patient office or other outpatient visit, typically 15 minutes	254	210	$84.53	$83.29
17000 Destruction of skin growth	214	169	$62.99	$53.25
17110 Destruction of up to 14 skin growths	207	180	$121.86	$112.04
11102 Tangential biopsy of single skin lesion	102	90	$94.51	$88.20
17111 Destruction of skin growth, 15 or more growths	97	77	$138.97	$133.12
99202 New patient office or other outpatient visit, typically 20 minutes	70	70	$95.00	$72.30
17004 Destruction of precancer skin growth, 15 or more growths	67	44	$176.19	$170.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	20	$5.00	$1.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	46	36	$183.59	$157.97
11103 Biopsy of related skin growth, each additional growth	38	23	$55.00	$50.79
10040 Acne surgery	36	34	$118.61	$112.24
88304 Pathology examination of tissue using a microscope, moderately low complexity	33	17	$38.33	$10.49
11104 Punch biopsy, first skin growth	22	22	$129.77	$121.12
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	20	19	$191.50	$172.27
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	19	15	$193.68	$179.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$124.44	$111.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	11	$31.00	$14.16
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$205.00	$191.30
10060 Simple or single drainage of skin abscess	12	12	$121.25	$118.88
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$188.33	$173.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	573	131	$10.89	$7.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	409	310	$55.39	$54.47
88305 Pathology examination of tissue using a microscope, intermediate complexity	336	147	$50.18	$24.78
17000 Destruction of skin growth	258	193	$60.87	$52.30
17110 Destruction of up to 14 skin growths	249	217	$122.28	$114.57
99213 Established patient office or other outpatient visit, typically 15 minutes	240	195	$86.31	$83.33
11102 Tangential biopsy of single skin lesion	97	89	$99.90	$94.97
17111 Destruction of skin growth, 15 or more growths	93	77	$138.76	$135.55
99202 New patient office or other outpatient visit, typically 20 minutes	70	70	$96.00	$73.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	25	$5.00	$1.14
17004 Destruction of precancer skin growth, 15 or more growths	46	37	$174.89	$173.13
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	26	$173.79	$157.17
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	23	23	$186.30	$171.15
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	23	21	$215.54	$200.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$119.13	$111.22
88304 Pathology examination of tissue using a microscope, moderately low complexity	21	12	$41.43	$11.75
10040 Acne surgery	19	17	$119.74	$117.83
11103 Biopsy of related skin growth, each additional growth	19	12	$55.00	$52.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	15	$30.00	$14.62
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	14	$194.41	$176.63
10060 Simple or single drainage of skin abscess	15	15	$120.67	$119.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	640	145	$10.61	$6.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	489	377	$54.79	$54.45
88305 Pathology examination of tissue using a microscope, intermediate complexity	330	134	$48.67	$24.73
17000 Destruction of skin growth	284	213	$66.27	$55.85
99213 Established patient office or other outpatient visit, typically 15 minutes	277	205	$84.26	$84.26
17110 Destruction of up to 14 skin growths	266	220	$119.25	$113.53
11102 Tangential biopsy of single skin lesion	94	88	$95.43	$93.88
17111 Destruction of skin growth, 15 or more growths	81	65	$137.16	$134.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	49	$5.00	$1.26
17004 Destruction of precancer skin growth, 15 or more growths	59	51	$172.20	$170.20
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$86.82	$74.29
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	24	$168.57	$157.67
11103 Biopsy of related skin growth, each additional growth	27	18	$59.26	$54.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$115.77	$111.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	26	$30.38	$14.49
10040 Acne surgery	25	24	$121.80	$117.95
11900 Injection into skin growth, 1-7 growths	23	19	$62.83	$53.12
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	19	$208.18	$197.44
10060 Simple or single drainage of skin abscess	20	18	$123.00	$121.91
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	13	$187.64	$178.69
11104 Punch biopsy, first skin growth	17	16	$133.82	$133.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$113.57	$113.57
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	12	11	$197.08	$185.44
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	12	12	$193.33	$182.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	644	139	$10.56	$6.00
99213 Established patient office or other outpatient visit, typically 15 minutes	420	329	$80.24	$73.56
88305 Pathology examination of tissue using a microscope, intermediate complexity	360	148	$48.06	$24.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	323	266	$50.09	$44.76
17000 Destruction of skin growth	271	214	$62.44	$50.29
17110 Destruction of up to 14 skin growths	233	212	$115.99	$107.57
11102 Tangential biopsy of single skin lesion	116	101	$95.52	$85.94
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$80.00	$74.45
17004 Destruction of precancer skin growth, 15 or more growths	69	53	$170.00	$156.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	62	36	$5.08	$1.45
17111 Destruction of skin growth, 15 or more growths	56	50	$136.88	$128.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	40	35	$176.50	$161.59
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	22	$206.40	$191.33
10040 Acne surgery	23	22	$106.52	$96.61
11900 Injection into skin growth, 1-7 growths	23	21	$60.43	$51.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$119.09	$105.27
11103 Biopsy of related skin growth, each additional growth	18	15	$55.00	$52.56
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	16	$195.83	$180.57
10060 Simple or single drainage of skin abscess	18	17	$116.39	$112.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	15	$35.29	$14.06
11200 Removal of skin tag, 1-15 skin tags	15	15	$70.00	$66.24
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	15	14	$175.00	$164.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$113.21	$105.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	634	153	$10.21	$5.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	503	397	$48.82	$45.11
99213 Established patient office or other outpatient visit, typically 15 minutes	438	324	$78.62	$74.16
88305 Pathology examination of tissue using a microscope, intermediate complexity	369	161	$50.34	$25.75
17110 Destruction of up to 14 skin growths	290	244	$113.05	$109.66
17000 Destruction of skin growth	286	229	$65.03	$53.39
11102 Tangential biopsy of single skin lesion	113	105	$94.60	$85.81
17111 Destruction of skin growth, 15 or more growths	94	84	$132.23	$129.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	85	46	$5.00	$1.59
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$78.60	$75.83
17004 Destruction of precancer skin growth, 15 or more growths	65	56	$166.38	$153.28
10040 Acne surgery	47	41	$90.64	$87.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$108.89	$106.35
88304 Pathology examination of tissue using a microscope, moderately low complexity	35	19	$38.29	$10.83
11900 Injection into skin growth, 1-7 growths	32	27	$57.50	$50.45
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	25	$212.04	$205.45
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	25	$174.81	$167.64
11200 Removal of skin tag, 1-15 skin tags	21	21	$76.43	$74.61
10060 Simple or single drainage of skin abscess	20	20	$123.00	$119.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	17	$30.53	$16.81
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	18	17	$160.83	$157.00
11103 Biopsy of related skin growth, each additional growth	17	11	$56.18	$53.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$109.62	$108.00
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	11	11	$190.91	$185.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	800	166	$10.69	$5.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	512	392	$45.12	$41.78
99213 Established patient office or other outpatient visit, typically 15 minutes	504	369	$74.94	$69.26
88305 Pathology examination of tissue using a microscope, intermediate complexity	450	191	$48.60	$24.06
17000 Destruction of skin growth	347	258	$62.39	$49.11
17110 Destruction of up to 14 skin growths	336	290	$113.01	$105.11
11100 Biopsy of single growth of skin and/or tissue	160	146	$94.97	$86.98
17111 Destruction of skin growth, 15 or more growths	122	102	$133.05	$124.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	101	53	$5.00	$1.78
99202 New patient office or other outpatient visit, typically 20 minutes	71	71	$75.00	$71.47
17004 Destruction of precancer skin growth, 15 or more growths	66	54	$169.62	$137.97
10040 Acne surgery	54	51	$83.19	$79.16
88304 Pathology examination of tissue using a microscope, moderately low complexity	50	28	$41.90	$10.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$107.89	$100.89
11900 Injection into skin growth, 1-7 growths	37	31	$54.59	$48.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	21	$30.00	$19.57
11101 Biopsy of each additional growth of skin and/or tissue	22	18	$50.23	$31.06
11200 Removal of skin tag, 1-15 skin tags	20	20	$67.00	$63.63
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	15	$192.35	$177.70
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	17	15	$145.74	$135.03
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	16	$182.94	$162.58
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$270.00	$249.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$108.21	$102.41
10060 Simple or single drainage of skin abscess	13	11	$111.54	$104.62
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$158.75	$148.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	818	187	$10.41	$5.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	647	501	$45.28	$40.98
88305 Pathology examination of tissue using a microscope, intermediate complexity	449	192	$48.59	$23.76
99213 Established patient office or other outpatient visit, typically 15 minutes	446	352	$74.71	$68.35
17000 Destruction of skin growth	358	284	$64.58	$49.56
17110 Destruction of up to 14 skin growths	316	273	$111.84	$101.69
11100 Biopsy of single growth of skin and/or tissue	148	135	$92.11	$81.93
99202 New patient office or other outpatient visit, typically 20 minutes	131	131	$75.04	$70.20
17111 Destruction of skin growth, 15 or more growths	131	109	$132.81	$122.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	78	41	$4.23	$1.79
17004 Destruction of precancer skin growth, 15 or more growths	78	59	$171.27	$141.19
10040 Acne surgery	54	50	$90.20	$81.45
88304 Pathology examination of tissue using a microscope, moderately low complexity	54	28	$38.52	$11.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$109.22	$100.66
11101 Biopsy of each additional growth of skin and/or tissue	30	27	$37.50	$30.72
10060 Simple or single drainage of skin abscess	29	27	$116.21	$106.73
11900 Injection into skin growth, 1-7 growths	28	25	$48.61	$42.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	24	22	$173.75	$157.68
11200 Removal of skin tag, 1-15 skin tags	22	21	$75.00	$70.02
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	15	$264.74	$241.65
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	17	$185.59	$169.16
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	16	15	$169.38	$156.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$108.33	$100.65
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$184.29	$168.77

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX E3168

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Jeffrey Szot , MD

Emergency Medicine

NPI 1003059783

Doctor of Medicine (M.D.)

Kasey Rehme

Speech-Language Pathologist

NPI 1003433913

Dr. Christian Brewer , MD

Emergency Medicine

NPI 1003497611

Doctor of Medicine (M.D.)

Amelie Mckneely , PA-C

Physician Assistant - Surgical

NPI 1003984105

Physician Assistant (Certified)

Susan Deahl , MCD

Audiologist-Hearing Aid Fitter

NPI 1013178185

Dr. Tia Raymond , MD

Pediatrics - Pediatric Cardiology

NPI 1013979871

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 7777 FOREST LN, #B-218, DALLAS, TX 752306811 (Tel: 9725667655)

📍

Updated Business Mailing Address July 08, 2007

Registered at 7777 FOREST LN, #B-218, DALLAS, TX 752306811 (Tel: 9725667655)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as LUCIUS COOK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dermatology (License #E3168 in TX)

🟢

Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861595449

Entity Type:

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

Enumeration Date: September 07, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7777 Forest Ln, #b-218

Dallas, TX 752306811

Phone: 9725667655

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.