Central Texas Dermatology, PA
NPI #1164566246 in West Lake Hills, Texas
Provider Information
- NPI Number
- 1164566246
- Entity Type
- Organization
- Organization Name
- Central Texas Dermatology, PA
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Sep 13, 2023
Practice Location
- Address
- 102 WESTLAKE DR
- Address 2
- #100
- City
- West Lake Hills
- State
- Texas
- ZIP Code
- 78746
- Phone
- (512) 327-7779
Authorized Official
- Name
- MRS. DEBRA PETRIE, BILLER
- Title
- BILLER/CREDENTIALER
- Phone
- (512) 327-8449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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