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Contact Information

WESTLAKE DERMATOLOGY PA
8825 BEE CAVE RD
SUITE 100
AUSTIN, TX78746-4719
 Phone: 512-328-3376
 Fax: 512-306-0222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WESTLAKE DERMATOLOGY PA

NPI # 1518939347
LBN Legal business name WESTLAKE DERMATOLOGY PA
Authorized official GREGORY NIKOLAIDIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2006
Last updated 04/04/2017 - About 9 years ago
Identifiers
TX Other 00591T BCBS GRP #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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