BASIN DERMATOLOGY NPI 1063003754

NPI Details

BASIN DERMATOLOGY is a dermatology in Midland, 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. BASIN DERMATOLOGY NPI is 1063003754. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4214 ANDREWS HWY STE 110
MIDLAND, TX
ZIP 79703-864
Phone: (432) 689-2491
Fax: (432) 991-1158

The provider's authorized official is Candace Wynne .
The authorized official title is Credentialing Manager and has the following contact phone number (432) 686-6605.

The CLIA number assigned to this NPI record is 45D2009142 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2021 and was last updated on 1/27/2021.

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: