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SOUTH TEXAS DERMATOPATHOLOGY LAB PA NPI 1265431456


NPI Information

NPI: 1265431456
Provider Name: SOUTH TEXAS DERMATOPATHOLOGY LAB PA
Classification: Pathology - 207ZD0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
1122 AUSTIN HWY
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 342-6488
Get Directions

SOUTH TEXAS DERMATOPATHOLOGY LAB PA is a dermatopathology pathology in San Antonio, TX. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. SOUTH TEXAS DERMATOPATHOLOGY LAB PA NPI is 1265431456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1122 AUSTIN HWY
SAN ANTONIO, TX
ZIP 78209-844
Phone: (210) 342-6488
Fax: (210) 342-6725

The provider's authorized official is Thomas L Davis .
The authorized official title is Laboratory Director and has the following contact phone number (210) 342-6488.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 7/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZD0900XPathologyDermatopathologyG4960TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1116882MEDICAIDMINNESOTA
213211MEDICAIDNORTH DAKOTA
3110795501MEDICAIDTEXAS
40421345MEDICAIDMONTANA
590013183OTHERTEXASPACIFICALE
6CL0476MEDICARE ID-TYPE UNSPECIFIEDTEXAS
7912055600MEDICAIDFLORIDA
8690004679OTHERTEXASMEDICARE RR
9100245340AMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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