Mountain West Derm - Austin PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MOUNTAIN WEST DERM - AUSTIN PLLC

Practice address

4513 Williams Dr
Georgetown, TX 78633-1302

Phone

(512) 930-3909

Fax

(512) 240-5469

NPI assigned

Jul 12, 2017

Organization subpart

No

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

Authorized official

Name

Suketu Patel

Title

MD

Phone

(512) 930-3909

Specialties & licenses 2

Addresses

Practitioners 1

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

• Gilberto Saenz III, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Georgetown, TX
  • NPI 1811088305
  NPD

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396267332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331302",
            "telephone_number": "512-930-3909",
            "fax_number": "512-240-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331302",
            "telephone_number": "512-930-3909",
            "fax_number": "512-240-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST DERM - AUSTIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUKETU",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "512-930-3909"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Morrison
• Caryn Michelle Mosier, DMSC, PA-C
• Sue Moss, M.D.
• Mount Orthodontics, PLLC
• Jeffrey Tanner Mount, DDS
• Mountain West Derm - Blackhart PLLC
• Bonnie Yesian Muehlendorf
• Nicholas Muhia, PMHNP
• Tom L Mulcahey, M.D.
• Elizabeth Mullen

• Dermatology Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.