Ladera Park Dermatology, P.A. in Austin - Dermatology
Ladera Park Dermatology, P.A. - NPI 1417010935
Ladera Park Dermatology, P.A. is a Dermatology in Austin, Texas. Ladera Park Dermatology, P.A. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Ladera Park Dermatology, P.A. is 1417010935. The last update date is 2013-02-27.
Ladera Park Dermatology, P.A.'s current location address is 11671 Jollyville Rd Ste 104, Austin, Texas. You can contact this provider via phone number 5123453599 and fax number 5123453928. The mailing address for Ladera Park Dermatology, P.A. is 11671 Jollyville Rd Ste 104, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ladera Park Dermatology, P.A. |
|---|---|
| Address | 11671 Jollyville Rd Ste 104, Austin, Texas |
| Phone Number | 5123453599 |
| Fax Number | 5123453928 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dubois C Janet |
| Credentials | MD |
| Telephone Number | 5123453599 |
NPI Number Detail
| NPI Number | 1417010935 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2013-02-27 |
Provider Mailing Address Detail
| Address | 11671 Jollyville Rd Ste 104 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787594141 |
| Phone Number | 5123453599 |
| Fax Number | 5123453928 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0001MU | TX | BLUE CROSS GROUP NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Ladera Park Dermatology, P.A. by the Centers for Medicare & Medicaid Services (CMS)?
The Ladera Park Dermatology, P.A. has been assigned the NPI (National Provider Identifier) 1417010935. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Ladera Park Dermatology, P.A.?
The Ladera Park Dermatology, P.A. is physically situated at 11671 Jollyville Rd Ste 104, in the city of Austin, state of TX, with the postal code 787594141.
What is the Ladera Park Dermatology, P.A.'s specialty and taxonomy code?
The Ladera Park Dermatology, P.A.'s specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417010935 to Ladera Park Dermatology, P.A.?
The Centers for Medicare & Medicaid Services assigned the 1417010935 to Ladera Park Dermatology, P.A. on 2006-12-18.
When was the Ladera Park Dermatology, P.A.'s information last updated?
The Ladera Park Dermatology, P.A.'s information was last updated on 2013-02-27.