Organization
PRODERM PLLC
Active
Organization
PRODERM PLLC
Active
Other names
ProDerm Skin & Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY LARKIN PROFFER MD (SOLE MEMBER)
(512) 535-6000
Entity
Organization
Contact information
Practice address
4516 SETON CENTER PKWY, STE 150, AUSTIN, TX 78759-5370
(512) 535-6000
(512) 610-0262
Mailing address
4516 SETON CENTER PKWY, STE 150, AUSTIN, TX 78759-5370
(512) 535-6000
(512) 610-0262
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
06/17/2025
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