Ladera Park Dermatology PA
Ladera Park Dermatology PA provides Dermatology Physician services in Austin, Texas. Licensed in Texas. Registered with an NPI since 2017.
- Licensed in
- TX
- In the registry since
- 2017
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11671 Jollyville Rd Ste 104Austin, TX 78759-4141
Phone: (512) 345-3599
Fax: (512) 345-3928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence L2883 (TX) |
|---|
Record details
| NPI number | 1225567704 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adrienne Feasel — President · (512) 345-3599 |
| Other names | Lake Travis Dermatology Pa |
| NPI enumerated | June 8, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 11671 Jollyville Rd Ste 104, Austin, TX 78759-4141 |
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Ladera Park Dermatology, PA
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