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Contact Information

GAVINO DERMATOLOGY, PLLC
9073 W STATE HIGHWAY 29 STE 108
LIBERTY HILL, TX78642-2396
 Phone: 737-377-3143
 Fax: 737-200-8237
 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 GAVINO DERMATOLOGY, PLLC

NPI Number 1619609682
LBN Legal business name GAVINO DERMATOLOGY, PLLC
Authorized official ALDE CARLO GAVINO - (MD/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2022
Last updated 05/21/2026 - About 2 weeks ago
Identifiers n/a
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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