Westlake Dermatology
LBN: Westlake Dermatology Pa
Westlake Dermatology is an health care organization with primary practice located at 12201 Renfert Way Suite 305, Austin TX 78758-5354. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Westlake Dermatology Pa can be contacted via phone (512) 279-3376, or through Nikolaidis, Gregory A via phone (512) 328-3376.
Contact Information
Primary practice address
12201 Renfert Way Suite 305
Austin TX 78758-5354
Phone: (512) 279-3376
Fax: (512) 306-0222
Website:
Authorized official contact:
Name: Nikolaidis, Gregory A Doctor of Medicine (MD)
Phone: (512) 328-3376
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X |
Profile Details
| NPI number | 1659401024 |
|---|---|
| LBN Legal business name | Westlake Dermatology Pa |
| DBA Doing business as | Westlake Dermatology |
| Authorized official | Nikolaidis, Gregory A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | May 22nd, 2008 - about 17 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 | 1659401024 | NPPES |
| Texas | Other | 00591T | BCBS GRP# |
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