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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

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

NPI # 1841346285
LBN Legal business name SPICEWOOD DERMATOLOGY, P.A.
Authorized official DAVID JENG - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2007
Last updated 04/16/2013 - About 13 years ago
Identifiers
TX License # L4986
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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