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SKYLINE DERMATOLOGY PLLC NPI 1659132389


NPI Information

NPI: 1659132389
Provider Name: SKYLINE DERMATOLOGY PLLC

Doing Business As: SKYLINE DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 45D2290934

Address:
120 CHRIS KELLEY BLVD STE 100
HUTTO, TX
ZIP 78634
Phone: (737) 231-1855
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SKYLINE DERMATOLOGY PLLC is a dermatology in Hutto, 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. SKYLINE DERMATOLOGY PLLC NPI is 1659132389. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Skyline Dermatology.

The provider's business location address is:

120 CHRIS KELLEY BLVD STE 100
HUTTO, TX
ZIP 78634-359
Phone: (737) 231-1855
Fax: (737) 221-5662

The provider's authorized official is Johnny Zhao .
The authorized official title is Owner and has the following contact phone number (737) 231-1855.

The CLIA number assigned to this NPI record is 45D2290934 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2024 and was last updated on 2/13/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

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: 5/5/2024

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