Organization · NPI-2
Alamo Heights Dermatology PA
Dermatology · San Antonio, TX
NPI number1285961847
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1285961847
- Entity type
- Organization (NPI-2)
- Legal business name
- Alamo Heights Dermatology PA
- Organization subpart
- No
- Enumeration date
- Nov 3, 2009
- Certification date
- Jul 26, 2024
- Last updated
- Jul 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
131 W Sunset Rd Ste 101San Antonio, TX 78209-2797
Phone 210-255-8447 · Fax 210-255-8446
Mailing address
131 W Sunset Rd Ste 101San Antonio, TX 78209-2797
Phone 210-255-8447 · Fax 210-255-8446
Other practice locations
121 Bulverde Crossing Rd Ste 110
Bulverde, TX 78163-6201
Bulverde, TX 78163-6201
Phone 830-380-3031 · Fax 210-255-8446
Authorized official
Brenda Carrasco
Office Manager
2102558447
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