Organization Active NPI

Mohs Skin Cancer Surgery of South Texas PA

  • Procedural Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1396805750
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
MOHS SKIN CANCER SURGERY OF SOUTH TEXAS PA
Practice address
5282 Medical Drive
Suite 518
San Antonio, TX 78229
Phone
(210) 615-8200
Fax
(210) 615-8220
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Edmund Rhodes Hobbs, MD
Title
President
Phone
(210) 615-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

5282 Medical Drive
Suite 518
San Antonio, TX 78229

Mailing address

5282 Medical Drive
Suite 518
San Antonio, TX 78229
Phone (210) 615-8200

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5282 Medical Dr
Ste 518
San Antonio, TX 78229
Phone (210) 615-8200

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1396805750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DRIVE",
            "address_2": "SUITE 518",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-615-8200",
            "fax_number": "210-615-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DRIVE",
            "address_2": "SUITE 518",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-615-8200",
            "fax_number": "210-615-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHS SKIN CANCER SURGERY OF SOUTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "RHODES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-615-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "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 9, 2007; 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.