Organization Active NPI

Texas Derm Institute, PA

  • Medical Specialty Clinic/Center
  • San Antonio, TX
National Provider Identifier
1326580408
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
N006 Issued in TX
Legal business name
TEXAS DERM INSTITUTE, PA
Practice address
24165 W Ih 10
Suite 102
San Antonio, TX 78257-1114
Phone
(830) 494-3376
Fax
(844) 819-1872
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Azadeh Kate Arefnia
Title
Manager
Phone
(830) 494-3376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X N006 TX Primary

Addresses

Primary practice location

24165 W Ih 10
Suite 102
San Antonio, TX 78257-1114

Mailing address

24165 W Ih 10
Suite 102
San Antonio, TX 78257-1114
Phone (830) 494-3376

National Provider Directory

National Provider Directory
Tax ID family
Texas Derm Institute PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1326580408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 W IH 10",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571114",
            "telephone_number": "830-494-3376",
            "fax_number": "844-819-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24165 W IH 10",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571114",
            "telephone_number": "830-494-3376",
            "fax_number": "844-819-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DERM INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "AREFNIA",
        "authorized_official_first_name": "AZADEH",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "830-494-3376",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "N006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.