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SOUTH TEXAS SKIN CANCER CENTER LLC NPI 1902398365


NPI Information

NPI: 1902398365
Provider Name: SOUTH TEXAS SKIN CANCER CENTER LLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
2632 BROADWAY ST
STE 300 SOUTH
SAN ANTONIO, TX
ZIP 78215
Phone: (210) 558-6234
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SOUTH TEXAS SKIN CANCER CENTER LLC 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. SOUTH TEXAS SKIN CANCER CENTER LLC NPI is 1902398365. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2632 BROADWAY ST
STE 300 SOUTH
SAN ANTONIO, TX
ZIP 78215-137
Phone: (210) 558-6234
Fax: (210) 446-5039

The provider's authorized official is Stephanie A. Flores .
The authorized official title is Billing Supervisor and has the following contact phone number (210) 890-1508.

The enumeration date for this NPI number is 6/1/2018 and was last updated on 1/30/2020.


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
11902398365MEDICAIDTEXAS

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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