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DERM DOCS PLLC NPI 1114049152


NPI Information

NPI: 1114049152
Provider Name: DERM DOCS PLLC

Doing Business As: THE DERMATOLOGY CENTER AT TEXAS MEDCLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1007 NE LOOP 410
SUITE 110
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 826-3258
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DERM DOCS PLLC is a specialist in San Antonio, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERM DOCS PLLC NPI is 1114049152. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Dermatology Center At Texas Medclinic.

The provider's business location address is:

1007 NE LOOP 410
SUITE 110
SAN ANTONIO, TX
ZIP 78209-205
Phone: (210) 826-3258
Fax: (210) 826-5520

The provider's authorized official is Bernard T. Swift .
The authorized official title is Managing Member and has the following contact phone number (210) 349-5577.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 7/10/2007.


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
1174400000XSpecialistF9812TEXASYes

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
100W259MEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE GROUP ID

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: 11/14/2023

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