Baytown Dermatology, P.A. in Baytown - Clinical Medical Laboratory
Baytown Dermatology, P.A. - NPI 1962599217
Baytown Dermatology, P.A. is a Clinical Medical Laboratory in Baytown, Texas. Baytown Dermatology, P.A. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Baytown Dermatology, P.A. is 1962599217. The last update date is 2020-05-12.
Baytown Dermatology, P.A.'s current location address is 3730 Emmett Hutto Blvd, Baytown, Texas. You can contact this provider via phone number 2814259375 and fax number 2814274584. The mailing address for Baytown Dermatology, P.A. is 3730 Emmett Hutto Blvd, Baytown, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Baytown Dermatology, P.A. |
|---|---|
| Address | 3730 Emmett Hutto Blvd, Baytown, Texas |
| Phone Number | 2814259375 |
| Fax Number | 2814274584 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Chan Conner |
| Credentials | MD |
| Telephone Number | 2814259375 |
NPI Number Detail
| NPI Number | 1962599217 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2020-05-12 |
Provider Mailing Address Detail
| Address | 3730 Emmett Hutto Blvd |
|---|---|
| City | Baytown |
| State | Texas (TX) |
| Post Code | 775211764 |
| Phone Number | 2814259375 |
| Fax Number | 2814274584 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 45D0496518CL |
|
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 690008222 | TX | RAILROAD MEDICARE | |
| CL8288 | TX | BLUE CROSS BLUE SHIELD TX | |
| 45D0496518 | TX | CLIA |
Post Comment/ Review Below
What is the unique identification code assigned to Baytown Dermatology, P.A. by the Centers for Medicare & Medicaid Services?
The Baytown Dermatology, P.A. has been issued the NPI (National Provider Identifier) 1962599217. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Baytown Dermatology, P.A.?
The Baytown Dermatology, P.A. is physically situated at 3730 Emmett Hutto Blvd, in the city of Baytown, state of TX, with the postal code 775211764.
What is the Baytown Dermatology, P.A.'s area of specialization and corresponding taxonomy classification?
The Baytown Dermatology, P.A.'s specialty field is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962599217 to Baytown Dermatology, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1962599217 to Baytown Dermatology, P.A. on 2006-10-06.
As of what date were the details pertaining to Baytown Dermatology, P.A. last refreshed?
The information related to the Baytown Dermatology, P.A., including its address, specialty, and other relevant details, was last updated on 2020-05-12.