Lone Star State Dermatology Clinic Pllc

LBN: Lone Star State Dermatology Clinic Pllc
Lone Star State Dermatology Clinic Pllc is an health care organization with primary practice located at 11101 Toepperwein Rd , Live Oak TX 78233-3048. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Lone Star State Dermatology Clinic Pllc can be contacted via phone (210) 651-3233, or through Peacock, Myra via phone (210) 651-3233.

Contact Information

Primary practice address
11101 Toepperwein Rd Live Oak TX 78233-3048
Phone: (210) 651-3233
Fax: (210) 651-3234
Website:
Map and Directions
Authorized official contact:
Name: Peacock, Myra
Phone: (210) 651-3233

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X K8022 Texas

Profile Details

NPI number 1053723239
LBN Legal business name Lone Star State Dermatology Clinic Pllc
DBA Doing business as
Authorized official Peacock, Myra
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2014
Last updated Dec 20th, 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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