Mountain West Derm - Blackhart Pllc

LBN: Mountain West Derm - Blackhart Pllc
Mountain West Derm - Blackhart Pllc is an health care organization with primary practice located at 4513 Williams Dr , Georgetown TX 78633-1302. 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. Mountain West Derm - Blackhart Pllc can be contacted via phone (512) 930-3909, or through Blackhart, Bret S via phone (775) 336-3624.

Contact Information

Primary practice address
4513 Williams Dr Georgetown TX 78633-1302
Phone: (512) 930-3909
Fax: (512) 240-5469
Website:
Map and Directions
Authorized official contact:
Name: Blackhart, Bret S Doctor of Medicine (MD)
Phone: (775) 336-3624

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X

Profile Details

NPI number 1366018848
LBN Legal business name Mountain West Derm - Blackhart Pllc
DBA Doing business as
Authorized official Blackhart, Bret S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2021
Last updated Jun 14th, 2021 - about 3 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.

Request for update

Popular Providers