Westlake Dermatology, PA

NPI #1265086045 in Alamo Heights, Texas

Provider Information

NPI Number: 1265086045
Entity Type: Organization
Organization Name: Westlake Dermatology, PA
Primary Specialty: Dermatology
Enumeration Date: Jul 30, 2019
Last Updated: Jul 30, 2019

Practice Location

Address: 5500 BROADWAY AVE
City: Alamo Heights
State: Texas
ZIP Code: 78209
Phone: (210) 802-0085

Authorized Official

Name: GREGORY A. NIKOLAIDIS, MD
Title: OWNER
Phone: (512) 328-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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