NPIMap

Organization Active NPI

Oasis Dermatology Group, PLLC

  • Dermatology Physician
  • McAllen, TX
National Provider Identifier
1619099124
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L4533 Issued in TX
Legal business name
OASIS DERMATOLOGY GROUP, PLLC
Practice address
3100 Buddy Owens Blvd
Suite 101
McAllen, TX 78504
Phone
(956) 971-0404
Fax
(956) 971-0408
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Dr. Rick Jui Han Lin, D.O.NPI 1508836693
Title
Physician
Phone
(956) 971-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X L4533 TX Primary

Addresses

Primary practice location

3100 Buddy Owens Blvd
Suite 101
McAllen, TX 78504

Mailing address

3100 Buddy Owens Blvd
Suite 101
McAllen, TX 78504
Phone (956) 971-0404

Other identifiers 1

IdentifierTypeStateIssuer
179339001MedicaidTX

Other names 1

  • Dermatology Clinic of McAllen Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060322000300 TX Part B Supplier - Clinic/Group Practice 5890703508 Receives reassigned benefits from 18 practitioners
Practice locations: Rio Grande City, TX; Weslaco, TX; McAllen, TX; Laredo, TX; Harlingen, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1054899Oasis Dermatology Group,PLLC3100 Buddy Owens Avenue, McAllen, TX 78504AccreditationNov 10, 2026

National Provider Directory

National Provider Directory

Locations

1605 E Del Mar Blvd
Ste 108
Laredo, TX 78041
Phone (956) 794-8804

3100 Buddy Owens Ave
Ste 101
McAllen, TX 78504

410 W 2nd St
Rio Grande City, TX 78582
Phone (956) 735-5058

217 S Oklahoma Ave
Ste A
Weslaco, TX 78596

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1619099124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BUDDY OWENS BLVD",
            "address_2": "SUITE 101",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-971-0404",
            "fax_number": "956-971-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BUDDY OWENS BLVD",
            "address_2": "SUITE 101",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-971-0404",
            "fax_number": "956-971-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS DERMATOLOGY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "JUI HAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "956-971-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L4533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179339001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Clinic of McAllen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.