Austin Dermcare Mso, Llc

LBN: Austin Dermcare Mso, Llc
Austin Dermcare Mso, Llc is an health care organization with primary practice located at 3807 Spicewood Springs Rd Ste 200, Austin TX 78759-8965. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Austin Dermcare Mso, Llc can be contacted via phone (512) 476-9195, or through Sims, Mary Ann via phone (512) 476-9195.

Contact Information

Primary practice address
3807 Spicewood Springs Rd Ste 200 Austin TX 78759-8965
Phone: (512) 476-9195
Fax: (512) 476-2857
Website:
Map and Directions
Authorized official contact:
Name: Sims, Mary Ann
Phone: (512) 476-9195

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1245417294
LBN Legal business name Austin Dermcare Mso, Llc
DBA Doing business as
Authorized official Sims, Mary Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2008
Last updated May 7th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245417294 NPPES
Texas Other 0021HW BCBS GROUP BILLING ID
Texas Other CK3641 BCBS GROUP BILLING ID

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