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Contact Information

WESTLAKE DERMATOLOGY PA
1760 ROUND ROCK AVE
ROUND ROCK, TX78681-4217
 Phone: 512-583-3376
 Fax: 512-306-0222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for WESTLAKE DERMATOLOGY PA · (Female)

NPI Number 1477678993
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2007
Last updated 11/05/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 211724401
  • TX Other 00591T BCBS OF TEXAS GROUP#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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