Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | N0724 | TX |
NPI | 1003833658 |
---|---|
Provider Name | Dr. Holly V Debuys |
First Address | Southlake, TX 76092-6730 |
Second Address | Southlake, TX 76092-6730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/12/2015 |