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Contact Information

DERMATOLOGY ASSOCIATES OF WEST TEXAS, LLP
2202 ITHACA AVE
LUBBOCK, TX79410-1332
 Phone: 806-797-1202
 Fax: 806-797-4854
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY ASSOCIATES OF WEST TEXAS, LLP

NPI # 1679704530
LBN Legal business name DERMATOLOGY ASSOCIATES OF WEST TEXAS, LLP
Authorized official BRENT PAULGER - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2009
Last updated 05/15/2023 - About 3 years ago
Identifiers
TX License # J6653 M5588
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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