Dermatology And Skin Cancer Clinic Pa in Longview - Mohs-micrographic Surgery
Dermatology And Skin Cancer Clinic Pa - NPI 1912098393
Dermatology And Skin Cancer Clinic Pa is a Mohs-micrographic Surgery in Longview, Texas. Dermatology And Skin Cancer Clinic Pa practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Dermatology And Skin Cancer Clinic Pa is 1912098393. The last update date is 2008-05-06.
Dermatology And Skin Cancer Clinic Pa's current location address is 901 Walnut Hill Dr, Longview, Texas. You can contact this provider via phone number 9037578878 and fax number 9037575985. The mailing address for Dermatology And Skin Cancer Clinic Pa is 901 Walnut Hill Dr, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology And Skin Cancer Clinic Pa |
|---|---|
| Address | 901 Walnut Hill Dr, Longview, Texas |
| Phone Number | 9037578878 |
| Fax Number | 9037575985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Beck John Stephen |
| Credentials | MD |
| Telephone Number | 9037578878 |
NPI Number Detail
| NPI Number | 1912098393 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2008-05-06 |
Provider Mailing Address Detail
| Address | 901 Walnut Hill Dr |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756055054 |
| Phone Number | 9037578878 |
| Fax Number | 9037575985 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | F3749 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CD8001 | TX | RAILROAD MEDCIARE | |
| 00U13U | TX | BLUE CROSS | |
| 109529102 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dermatology And Skin Cancer Clinic Pa by the Centers for Medicare & Medicaid Services?
The Dermatology And Skin Cancer Clinic Pa has been assigned the NPI (National Provider Identifier) 1912098393. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dermatology And Skin Cancer Clinic Pa's physical address?
The Dermatology And Skin Cancer Clinic Pa is physically located at 901 Walnut Hill Dr, in the city of Longview, TX, with the postal code 756055054.
What is the area of specialization for Dermatology And Skin Cancer Clinic Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dermatology And Skin Cancer Clinic Pa is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Nd0101X.
On what date did the Dermatology And Skin Cancer Clinic Pa receive its 1912098393 assignment from the Centers for Medicare & Medicaid Services?
The Dermatology And Skin Cancer Clinic Pa was assigned its 1912098393 by the Centers for Medicare & Medicaid Services on 2006-09-28.
When was the Dermatology And Skin Cancer Clinic Pa's information last updated?
The Dermatology And Skin Cancer Clinic Pa's information was last updated on 2008-05-06.
NPI Number: 1972504124
Address: 21 Business Park Dr, Branford, CT