SOUTH TEXAS SKIN CANCER CENTER LLC (NPI# 1902398365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902398365 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS SKIN CANCER CENTER LLC |
| Practice Address |
2632 Broadway St Ste 300 South San Antonio TX 78215-1137 |
| Mailing Address |
2632 Broadway St Ste 300s San Antonio TX 78215-1137 |
| Practice Telephone | 2105586234 |
| Practice Fax Number | 2104465039 |
| Mailing Telephone | 2105586234 |
| Mailing Fax Number | 2104465039 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | STEPHANIE A. FLORES (BILLING SUPERVISOR) |
| Authorized Official Telephone | 2108901508 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1902398365 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 813 Paris, San Antonio, TX 78009 | 2105586234 | 2104465039 |
| 9238 Floyd Curl Dr Ste 101, San Antonio, TX 782401691 | 2105586234 |
| Street Address |
2632 BROADWAY ST STE 300 SOUTH |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78215-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530412 | Felipe A. Garcia-ghinis | Obstetrics & Gynecology | 2632 Broadway St, Suite 301n, San Antonio, TX 78215-1137 | 2005-07-01 |
| 1275925869 | Dermatology Specialists of San Antonio, Pllc | Dermatology | 2632 Broadway St, Suite 201 N, San Antonio, TX 78215-1137 | 2015-02-19 |
| 1679836357 | San Antonio Clinical Genetics Pa | Medical Genetics | 2632 Broadway St, Suite 104 South, San Antonio, TX 78215-1137 | 2012-06-19 |
| 1568774735 | Skin Surgery of San Antonio, Pa | Dermatology | 2632 Broadway St, 201 South, San Antonio, TX 78215-1137 | 2010-07-05 |
| 1336371731 | Ears of Texas Hearing Instrument Clinic, P.a. | Hearing Aid Equipment | 2632 Broadway St, Ste. 201-202, San Antonio, TX 78215-1137 | 2009-08-18 |
| 1043498470 | Ears of Texas, P.a. | Specialist | 2632 Broadway St, Suite 201-202, San Antonio, TX 78215-1137 | 2008-02-07 |
| 1265646277 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2632 Broadway St, Suite 101 North, San Antonio, TX 78215-1021 | 2007-05-09 |
| 1710912860 | Kathy D. Grove | Surgery | 2632 Broadway St, Suite 102 North, San Antonio, TX 78215-1137 | 2006-07-11 |
| 1740211192 | Wesley William Krueger | Otolaryngology | 2632 Broadway St, Suite 201-202 South Building, San Antonio, TX 78215-1021 | 2006-07-05 |
| 1124083415 | Naji Kayruz | Surgery | 2632 Broadway St, Ste 102 North, San Antonio, TX 78215-1137 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710487780 | Webster Street Dental Pllc | Clinic/Center | 311 E Jones Ave, San Antonio, TX 78215 | 2018-02-16 |
| 1699215293 | Monique Gonzalez | Nurse Practitioner | 311 Camden St., Suite 510, San Antonio, TX 78215 | 2017-03-01 |
| 1477958015 | Rachel Lynn Stein | Nurse Practitioner | 311 Camden St Ste 501, San Antonio, TX 78215 | 2014-10-24 |
| 1962837005 | Jessica Maria Leighton | Nurse Practitioner | 926 Brooklyn Ave Ste 100, San Antonio, TX 78215 | 2013-09-09 |
| 1891037123 | Michael Aguilar Davila | Clinic/Center | 303 E Quincy Ste 104, Physician Health Services, San Antonio, TX 78215 | 2013-03-25 |
| 1265669584 | Colin Townes Son | Neurological Surgery | 123 Roy Smith St Apt 1211, San Antonio, TX 78215 | 2009-06-12 |
| 1306082292 | Dario Fernandez | Physical Therapist | 302 E Josephine St Ste 1101, San Antonio, TX 78215 | 2008-12-23 |
| 1992966584 | Vcphcs Vii, LLC | Clinic/Center | 519 E. Quincy, San Antonio, TX 78215 | 2008-06-17 |
| 1871686360 | Inocencio A. Davila, M.d.,p.a. | Anesthesiology | 621 N. Alamo, San Antonio, TX 78215 | 2006-10-02 |
| 1730282708 | Elizabeth S Brickman | Pediatrics | 311 Camden, Suite 214, San Antonio, TX 78215 | 2006-09-06 |
| Find all providers in zip 78215 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649800848 | Skin Cancer Dermatology, Pllc | Dermatology | 3327 Research Plz Ste 414, San Antonio, TX 78235-5159 | 2020-01-16 |
| 1154717726 | Joshua Lee Owen | Dermatology | 2632 Broadway, Suite 300 South, San Antonio, TX 78215-7821 | 2015-04-10 |
| 1427330588 | Michael A. Sorace Md Pa | Dermatology | 7950 Floyd Curl Dr Ste 505, Medical Center Tower 1, San Antonio, TX 78229-3924 | 2011-09-15 |
| 1205881281 | Ryan P. O'quinn | Dermatology | 2632 Broadway St Ste 300, San Antonio, TX 78215-1137 | 2006-05-24 |
| 1205897576 | John Gregory Levasseur | Dermatology | 5282 Medical Dr Ste 518, San Antonio, TX 78229-6046 | 2006-03-28 |
| 1922097062 | Byron L Limmer Md and Rachel L Limmer Md Pa | Dermatology | 14615 San Pedro Ave, Ste 210, San Antonio, TX 78232-4374 | 2005-10-20 |
| 1548263346 | Cancer Healthcare Associates | Dermatology | 7979 Wurzbach Rd, San Antonio, TX 78229-4427 | 2005-05-24 |
| 1568774735 | Skin Surgery of San Antonio, Pa | Dermatology | 2632 Broadway St, 201 South, San Antonio, TX 78215-1137 | 2010-07-05 |
| 1174712228 | Ryan O'quinn Md | Dermatology | 9238 Floyd Curl Dr, Suite 101, San Antonio, TX 78240-1690 | 2007-10-15 |
| 1407963796 | Byron Lee Limmer | Dermatology | 14615 San Pedro Ave, Suite 210, San Antonio, TX 78232-4374 | 2006-08-24 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78215 |
Please comment or provide details below to improve the information on SOUTH TEXAS SKIN CANCER CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.