Dr. Trenton D Custis
Dermatologist MOHS-Micrographic Surgeon
3900 Junius St Ste 710
Dallas
, Texas 75246-1627
Dr. Trenton D Custis
Dermatologist MOHS-Micrographic Surgeon
3900 Junius St Ste 710
Dallas
, Texas 75246-1627
(214) 987-3376
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Trenton D Custis
- 12700 Park Central Dr Ste 650
- Dallas, TX
- Zip : 75251-1522
- Phone : (214) 987-3376
Second Address
- Dr. Trenton D Custis
- 3900 Junius St Ste 710
- Dallas, TX
- Zip : 75246-1627
- Phone : (214) 987-3376
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Is Dr. Trenton D Custis a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | A114739 | CA |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | Q0623 | TX |
National Provider Identifier
| NPI | 1356575344 |
|---|---|
| Provider Name | Dr. Trenton D Custis |
| First Address | Dallas, TX 75251-1522 |
| Second Address | Dallas, TX 75246-1627 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2009 |
| Last Update Date | 04/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.