EPIPHANY DERMATOLOGY PA NPI 1043615263

NPI Details

EPIPHANY DERMATOLOGY PA is a dermatology in Waco, TX. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. EPIPHANY DERMATOLOGY PA NPI is 1043615263. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7106 SANGER AVENUE
WACO, TX
ZIP 76712-928
Phone: (254) 537-1265
Fax: (254) 537-1310

The provider's authorized official is Gheorghe Pusta .
The authorized official title is Ceo and has the following contact phone number (512) 628-0465.

The CLIA number assigned to this NPI record is 45D2091398 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/30/2014 and was last updated on 7/21/2023.

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: