Austin Derm Associates

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

M2276 Issued in TX

Legal business name

AUSTIN DERM ASSOCIATES

Practice address

3705 Medical Pkwy Ste 340
Austin, TX 78705-1023

Phone

(512) 454-3781

Fax

(512) 454-4058

NPI assigned

May 10, 2008

Last updated

May 10, 2008By 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

Dr. Daniel A Carrasco, MDNPI 1558345793

Title

Owner

Phone

(512) 454-3781

Specialties & licenses 1

Addresses

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.

• Daniel Anthony Carrasco, MD

  • Dermatology Physician
  • Austin, TX
  • NPI 1558345793
  Authorized official Same address or phone

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210377600000",
    "number": "1700053683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023",
            "telephone_number": "512-454-3781",
            "fax_number": "512-454-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023",
            "telephone_number": "512-454-3781",
            "fax_number": "512-454-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN DERM ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-10",
        "last_updated": "2008-05-10",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-454-3781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "M2276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2008; 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.