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Contact Information

WESTLAKE DERMATOLOGY PA
12201 RENFERT WAY
SUITE 305
AUSTIN, TX78758-5354
 Phone: 512-279-3376
 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 # 1659401024
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2007
Last updated 05/22/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Other 00591T BCBS GRP#
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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