Liana H Proffer in Amarillo - Mohs-micrographic Surgery

Liana H Proffer - NPI 1891770046

Liana H Proffer is a Mohs-micrographic Surgery in Amarillo, Texas. Liana H Proffer practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Liana H Proffer is 1891770046. The last update date is 2014-02-10.

Liana H Proffer's current location address is 1611 Wallace Blvd, Amarillo, Texas. You can contact this provider via phone number 8063544900 and fax number 8063524987. The mailing address for Liana H Proffer is 1611 Wallace Blvd, Amarillo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Liana H Proffer
Address 1611 Wallace Blvd, Amarillo, Texas
Phone Number 8063544900
Fax Number 8063524987
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1891770046
Provider Enumeration Date 2005-12-09
Last Updated Date 2014-02-10

Provider Mailing Address Detail

Address 1611 Wallace Blvd
City Amarillo
State Texas (TX)
Post Code 791061799
Phone Number 8063544900
Fax Number 8063524987

Provider's Primary Taxonomy Detail

Speciality Mohs-micrographic Surgery
Taxonomy 207Nd0101X
Licence No K6910
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8V1240 TX BLUE CROSS BLUE SHIELD
187150101 TX --

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FAQs about Liana H Proffer

What is the unique provider identifier assigned to Liana H Proffer?

The Liana H Proffer has been issued the NPI (National Provider Identifier) 1891770046 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Liana H Proffer is located?

The Liana H Proffer is situated at the following address: 1611 Wallace Blvd, Amarillo, TX, 791061799.

What is Liana H Proffer's specialized field of practice, and what is the corresponding taxonomy classification code?

The Liana H Proffer's area of specialization is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Nd0101X.

When was the Liana H Proffer's 1891770046 issued?

The Liana H Proffer's 1891770046 was issued on 2005-12-09.

As of what date were the details related to Liana H Proffer most recently updated or revised?

The information pertaining to Liana H Proffer, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-10.

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