National Provider Identifier Database

SPICEWOOD DERMATOLOGY PA
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

SPICEWOOD DERMATOLOGY, P.A.
13642 N. HWY 183
BLDG 2 STE 100
AUSTIN, TX78750
Phone: 512-331-7300
Fax: 512-331-7318
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SPICEWOOD DERMATOLOGY, P.A.

NPI Number 1841346285
Legal business name
LBN
SPICEWOOD DERMATOLOGY, P.A.
Authorized official DAVID JENG - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/26/2007
Last updated 04/16/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: L4986

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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