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HANS M SANDER MD PA NPI 1821185190


NPI Information

NPI: 1821185190
Provider Name: HANS M SANDER MD PA

Doing Business As: CAPITOL DERMATOLOGY ASSOCIATES

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D0956786

Address:
11410 JOLLYVILLE RD
SUITE 2101
AUSTIN, TX
ZIP 78759
Phone: (512) 345-8688
Get Directions

HANS M SANDER MD PA is a specialist in Austin, 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. HANS M SANDER MD PA NPI is 1821185190. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capitol Dermatology Associates.

The provider's business location address is:

11410 JOLLYVILLE RD
SUITE 2101
AUSTIN, TX
ZIP 78759-097
Phone: (512) 345-8688
Fax: (512) 345-2253

The provider's authorized official is Hans M Sander .
The authorized official title is Owner/president and has the following contact phone number (512) 345-8688.

The CLIA number assigned to this NPI record is 45D0956786 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/6/2006 and was last updated on 5/30/2012.


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
1174400000XSpecialistG5567TEXASYes

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
1D67723MEDICARE UPINTEXAS
200999UMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE GROUP NUMBER
38A6192MEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE INDIVIDUAL NUMBE

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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