Southwest Skin & Cancer Clinic, P.A.
LBN: Southwest Skin & Cancer Clinic, P.A.
Southwest Skin & Cancer Clinic, P.A. is an health care organization with primary practice located at 4419 Frontier Trl Suite 110, Austin TX 78745-1686. 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 / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Southwest Skin & Cancer Clinic, P.A. can be contacted via phone (512) 444-7208, or through Houston, Stephen Douglas via phone (512) 444-7208.
Contact Information
Primary practice address
4419 Frontier Trl Suite 110
Austin TX 78745-1686
Phone: (512) 444-7208
Fax: (512) 444-2343
Website:
Authorized official contact:
Name: Houston, Stephen Douglas Doctor of Medicine (MD)
Phone: (512) 444-7208
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1619942182 |
|---|---|
| LBN Legal business name | Southwest Skin & Cancer Clinic, P.A. |
| DBA Doing business as | |
| Authorized official | Houston, Stephen Douglas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jul 12th, 2011 - about 13 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 | 1619942182 | NPPES |
| Texas | Other | CG4257 | MEDICARE RAILROAD |
| Texas | MEDICAID | 084309601 | MEDICARE RAILROAD |
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