Organization
WESTLAKE DERMATOLOGY PA
Active
Organization
WESTLAKE DERMATOLOGY PA
Active
Other names
Westlake Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A NIKOLAIDIS M.D. (PRESIDENT)
(512) 328-3376
Entity
Organization
Contact information
Practice address
507 W FM 2147, SUITE 202, MARBLE FALLS, TX 78654-6279
(512) 328-3376
(512) 306-0222
Mailing address
8825 BEE CAVE RD, SUITE 100, AUSTIN, TX 78746-4720
(512) 328-3376
(512) 306-0222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
TX
363A00000X
Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00591T
BCBS OF TEXAS GROUP#
TX
Enumeration date
05/13/2008
Last updated
11/05/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up