Westlake Dermatology PA

NPI #1154598779 in Marble Falls, Texas

Provider Information

NPI Number
1154598779
Entity Type
Organization
Organization Name
Westlake Dermatology PA
Primary Specialty
Dermatology
Enumeration Date
May 13, 2008
Last Updated
Nov 5, 2015

Practice Location

Address
507 W FM 2147
Address 2
SUITE 202
State
Texas
ZIP Code
78654-6279
Phone
(512) 328-3376

Authorized Official

Name
GREGORY A NIKOLAIDIS, M.D.
Title
PRESIDENT
Phone
(512) 328-3376

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Dermatology

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