Dermatology Specialists Of San Antonio, Pllc
LBN: Dermatology Specialists Of San Antonio, Pllc
Dermatology Specialists Of San Antonio, Pllc is an health care organization with primary practice located at 2520 Broadway St Ste 202 , San Antonio TX 78215-1149. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Dermatology Specialists Of San Antonio, Pllc can be contacted via phone (210) 541-4884, or through Owens, Nicole Marie via phone (210) 541-4884.
Contact Information
Primary practice address
2520 Broadway St Ste 202
San Antonio TX 78215-1149
Phone: (210) 541-4884
Fax: (210) 541-4900
Website:
Authorized official contact:
Name: Owens, Nicole Marie Doctor of Medicine (MD)
Phone: (210) 541-4884
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X |
Profile Details
| NPI number | 1275925869 |
|---|---|
| LBN Legal business name | Dermatology Specialists Of San Antonio, Pllc |
| DBA Doing business as | |
| Authorized official | Owens, Nicole Marie Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 19th, 2015 |
| Last updated | Apr 19th, 2022 - about 2 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 | 1275925869 | NPPES |
| Texas | Other | H000R0R101 | BCBSTX |
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