NPIMap

Organization Active NPI

Lacremeta LLC Dba GJ Skin Clinic

Doing business as Gj Skin Clinic

  • Dermatology Physician
  • La Vernia, TX
National Provider Identifier
1811738735
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LACREMETA LLC DBA GJ SKIN CLINIC
Doing business as
Gj Skin Clinic
Practice address
13549 US Highway 87 W Unit B
La Vernia, TX 78121-5879
Phone
(830) 251-8232
Fax
(908) 282-3628
NPI assigned
Jun 4, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
LACREMETA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Galina Warren, ANPNPI 1740333699
Title
Nurse Practitioner
Phone
(830) 251-8232

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 Physician 207N00000X NU Primary

Addresses

Primary practice location

13549 US Highway 87 W Unit B
La Vernia, TX 78121-5879

Mailing address

13549 US Highway 87 W Unit B
La Vernia, TX 78121-5879
Phone (830) 251-8232

Other names 1

  • Gj Skin Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Lacremeta LLC Dba GJ Skin Clinic

Locations

13549 US Highway 87 W
Unit B
La Vernia, TX 78121
Phone (830) 251-8232

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1811738735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13549 US HIGHWAY 87 W UNIT B",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215879",
            "telephone_number": "830-251-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13549 US HIGHWAY 87 W UNIT B",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215879",
            "telephone_number": "830-251-8232",
            "fax_number": "908-282-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACREMETA LLC DBA GJ SKIN CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LACREMETA LLC",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "830-251-8232",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gj Skin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Vernia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.