Dermatopathology Specialists of Texas

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

DERMATOPATHOLOGY SPECIALISTS OF TEXAS

Practice address

8534 Village Dr FL 2
San Antonio, TX 78217-5501

Phone

(617) 319-6667

NPI assigned

Jun 6, 2021

Last updated

Jun 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maren Chan, MDNPI 1881772283

Title

Owner

Phone

(617) 319-6667

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maren M Chan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
  • NPI 1881772283
  Authorized official Same address or phone

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622937600000",
    "number": "1467029785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 MARYMONT PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173421",
            "telephone_number": "617-319-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8534 VILLAGE DR FL 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175501",
            "telephone_number": "617-319-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOPATHOLOGY SPECIALISTS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-319-6667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Derk, OTR
• Marilyn Kay Derkowski, RPH
• Derm Docs PLLC (The Dermatology Center at Texas MedClinic)
• Derma Dash Services, LLC
• Dermatology Specialists of San Antonio, PLLC
• Jason P Deroche, D.C.
• Byron Derouselle Jr.
• Kesia Derry
• Olga Deryavko, PHARMD
• Desai Dentistry PLLC (La Cantera Dental Group)

• Anatomic Pathology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Anatomic Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.