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SKIN CANCER DERMATOLOGY PLLC NPI 1649800848


NPI Information

NPI: 1649800848
Provider Name: SKIN CANCER DERMATOLOGY, PLLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 45D2258975

Address:
7979 BROADWAY STE 202
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 601-6502
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SKIN CANCER DERMATOLOGY, PLLC is a mohs-micrographic surgery dermatology in San Antonio, TX. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. SKIN CANCER DERMATOLOGY, PLLC NPI is 1649800848. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7979 BROADWAY STE 202
SAN ANTONIO, TX
ZIP 78209-657
Phone: (210) 601-6502
Fax: (210) 908-9666

The provider's authorized official is Calvin L Day .
The authorized official title is Medical Doctor and has the following contact phone number (210) 601-6502.

The CLIA number assigned to this NPI record is 45D2258975 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/16/2020 and was last updated on 11/3/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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
11831379692OTHERNPI
245D2258975OTHERTEXASCLIA

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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