Ladera Park Dermatology, P.A.

LBN: Ladera Park Dermatology, P.A.
Ladera Park Dermatology, P.A. is an health care organization with primary practice located at 11671 Jollyville Rd Ste 104 , Austin TX 78759-4141. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Ladera Park Dermatology, P.A. can be contacted via phone (512) 345-3599, or through Dubois, Janet C via phone (512) 345-3599.

Contact Information

Primary practice address
11671 Jollyville Rd Ste 104 Austin TX 78759-4141
Fax: (512) 345-3928
Website:
Authorized official contact:
Name: Dubois, Janet C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1417010935
LBN Legal business name Ladera Park Dermatology, P.A.
DBA Doing business as
Authorized official Dubois, Janet C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Feb 27th, 2013 - about 9 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 1417010935 NPPES
Texas Other 0001MU BLUE CROSS GROUP NUMBER

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