NPIMap

Organization Active NPI

Craig D. Urban, MD PA

Doing business as Abilene Dermatology & Skin Surgery Center

  • Specialist
  • Abilene, TX
National Provider Identifier
1770664740
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F2977 Issued in TX
Legal business name
CRAIG D. URBAN, MD PA
Doing business as
Abilene Dermatology & Skin Surgery Center
Practice address
3190 Antilley Road
Abilene, TX 79606-5015
Phone
(325) 672-5603
Fax
(325) 672-6570
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Craig D Urban, M.D. PANPI 1184705071
Title
Owner
Phone
(325) 672-5603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X F2977 TX Primary

Addresses

Primary practice location

3190 Antilley Road
Abilene, TX 79606-5015

Mailing address

3190 Antilley Road
Abilene, TX 79606-5015
Phone (325) 672-5603

Other identifiers 1

IdentifierTypeStateIssuer
00147NOtherTXBLUECROSS BLUESHIELD OF T

Other names 1

  • Abilene Dermatology & Skin Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

3190 Antilley Rd
Abilene, TX 79606
Phone (325) 672-5603

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1770664740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 ANTILLEY ROAD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065015",
            "telephone_number": "325-672-5603",
            "fax_number": "325-672-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 ANTILLEY ROAD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065015",
            "telephone_number": "325-672-5603",
            "fax_number": "325-672-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG D. URBAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-672-5603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F2977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF T",
            "identifier": "00147N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abilene Dermatology & Skin Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.