Organization Active NPI

Skin by Design Dermatology & Laser Center PA

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1811154370
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN BY DESIGN DERMATOLOGY & LASER CENTER PA
Practice address
516 Lexington Ave
San Antonio, TX 78215-1906
Phone
(210) 224-1034
Fax
(210) 224-1106
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Allison J Stocker, MDNPI 1134149669
Title
Physician President
Phone
(210) 224-1034

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 Primary

Addresses

Primary practice location

516 Lexington Ave
San Antonio, TX 78215-1906

Mailing address

516 Lexington Ave
San Antonio, TX 78215-1906
Phone (210) 224-1034

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1811154370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LEXINGTON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151906",
            "telephone_number": "210-224-1034",
            "fax_number": "210-224-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LEXINGTON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151906",
            "telephone_number": "210-224-1034",
            "fax_number": "210-224-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN BY DESIGN DERMATOLOGY & LASER CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "STOCKER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "210-224-1034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "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 May 21, 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.