Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KHIDJA SEYMOUR
Active Sole ProprietorKHIDJA SEYMOUR is a Procedural Dermatology healthcare provider located in FORT WORTH, Texas. NPI 1548777683 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · FORT WORTH, TX
Registration Details
- NPI Number
- 1548777683
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2018 (8.6023596729598 yrs)
- Last Updated
- Jun 16, 2018
- Licenses
-
KK307596 (CA)KK37596 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5288 TRAIL LAKE DR STE 13FORT WORTH, TX, 761331939Browse TX providers · Browse ZIP 76133
- Phone
- 8179176181
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.