Balcones Dermatology Associates, PA
Dermatology in Austin, TX. Organization (NPI-2).
NPI number1407855646
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1407855646
- Entity type
- Organization (NPI-2)
- Legal business name
- Balcones Dermatology Associates, PA
- Organization subpart
- No
- Enumeration date
- Jul 19, 2005
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | TX | Yes |
Practice location
8240 N Mopac ExpySte 350
Austin, TX 78759-8840
Phone 512-459-4869 · Fax 512-453-2795
Mailing address
8240 N Mopac ExpySte 350
Austin, TX 78759-8840
Phone 512-459-4869 · Fax 512-453-2795
Authorized official
Katherine K Farady
President
5124594869
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