Catherine M Tisdall in San Antonio - Dermatology

Catherine M Tisdall - NPI 1871556506

Catherine M Tisdall is a Dermatology in San Antonio, Texas. Catherine M Tisdall practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Catherine M Tisdall is 1871556506. The last update date is 2009-10-27.

Catherine M Tisdall's current location address is 8431 Fredericksburg Rd, San Antonio, Texas. You can contact this provider via phone number 2106157171 and fax number 2106156793. The mailing address for Catherine M Tisdall is 8431 Fredericksburg Rd, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Catherine M Tisdall
Address 8431 Fredericksburg Rd, San Antonio, Texas
Phone Number 2106157171
Fax Number 2106156793
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1871556506
Provider Enumeration Date 2006-04-12
Last Updated Date 2009-10-27

Provider Mailing Address Detail

Address 8431 Fredericksburg Rd
City San Antonio
State Texas (TX)
Post Code 782293392
Phone Number 2106157171
Fax Number 2106156793

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No M5220
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
P00605100 TX MEDICARE RR
8X5051 TX BCBS
M5220 TX LICENSE
207N00000X TX TAXONOMONY
742935457 TX TAX ID
DG9652 TX MEDICARE RR GROUP PTAN
00203V TX MEDICARE PTAN GROUP

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FAQs about Catherine M Tisdall

What is the unique 10-digit identification code issued to Catherine M Tisdall by the Centers for Medicare & Medicaid Services?

The Catherine M Tisdall has been assigned the NPI (National Provider Identifier) 1871556506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Catherine M Tisdall is geographically located?

The Catherine M Tisdall is physically situated at the following location: 8431 Fredericksburg Rd, San Antonio, TX, 782293392.

What is Catherine M Tisdall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Catherine M Tisdall is Dermatology, and the corresponding taxonomy classification code for this specialized field is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1871556506 to Catherine M Tisdall?

The Catherine M Tisdall received its 1871556506 assignment from the Centers for Medicare & Medicaid Services on 2006-04-12.

As of what date were the details pertaining to Catherine M Tisdall last refreshed?

The information related to the Catherine M Tisdall, including its address, specialty, and other relevant details, was last updated on 2009-10-27.

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