Central Austin Dermatology, P.A.

LBN: Central Austin Dermatology, P.A.
Central Austin Dermatology, P.A. is an health care organization with primary practice located at 720 W 34Th St Suite 210, Austin TX 78705-1205. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Central Austin Dermatology, P.A. can be contacted via phone (512) 450-1001, or through Hendrix, Jay Anthony via phone (512) 450-1001.

Contact Information

Primary practice address
720 W 34Th St Suite 210 Austin TX 78705-1205
Phone: (512) 450-1001
Fax: (512) 302-9723
Website:
Map and Directions
Authorized official contact:
Name: Hendrix, Jay Anthony Doctor of Medicine (MD)
Phone: (512) 450-1001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1518080415
LBN Legal business name Central Austin Dermatology, P.A.
DBA Doing business as
Authorized official Hendrix, Jay Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2007
Last updated May 30th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518080415 NPPES
Texas MEDICAID 081333901

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