Dermatology And Skin Cancer Clinic Pa
LBN: Dermatology And Skin Cancer Clinic Pa
Dermatology And Skin Cancer Clinic Pa is an health care organization with primary practice located at 901 Walnut Hill Dr , Longview TX 75605-5054. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty.
Dermatology And Skin Cancer Clinic Pa can be contacted via phone (903) 757-8878, or through Beck, Stephen John via phone (903) 757-8878.
Contact Information
Primary practice address
901 Walnut Hill Dr
Longview TX 75605-5054
Phone: (903) 757-8878
Fax: (903) 757-5985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | F3749 | Texas |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | F3749 | Texas |
Profile Details
| NPI number | 1912098393 |
|---|---|
| LBN Legal business name | Dermatology And Skin Cancer Clinic Pa |
| DBA Doing business as | |
| Authorized official | Beck, Stephen John Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | May 6th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912098393 | NPPES |
| Texas | Other | CD8001 | RAILROAD MEDCIARE |
| Texas | Other | 00U13U | RAILROAD MEDCIARE |
| Texas | MEDICAID | 109529102 | RAILROAD MEDCIARE |
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