Epiphany Dermatology Pa

LBN: Epiphany Dermatology Pa
Epiphany Dermatology Pa is an health care organization with primary practice located at 7106 Sanger Avenue , Waco TX 76712-3928. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Ambulatory Health Care Facilities / Radiology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Epiphany Dermatology Pa can be contacted via phone (254) 537-1265, or through Pusta, Gheorghe via phone (512) 628-0465.

Contact Information

Primary practice address
7106 Sanger Avenue Waco TX 76712-3928
Phone: (254) 537-1265
Fax: (254) 537-1310
Website:
Map and Directions
Authorized official contact:
Name: Pusta, Gheorghe
Phone: (512) 628-0465

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Q1815 Texas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X Q1815 Texas
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1043615263
LBN Legal business name Epiphany Dermatology Pa
DBA Doing business as
Authorized official Pusta, Gheorghe
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2014
Last updated Jul 21st, 2023 - about last year

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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