Organization
AUSTIN DERMCARE MSO, LLC
Active
Organization
AUSTIN DERMCARE MSO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN SIMS (OFFICE MANAGER)
(512) 476-9195
Entity
Organization
Contact information
Practice address
3807 SPICEWOOD SPRINGS RD, STE 200, AUSTIN, TX 78759-8965
(512) 476-9195
(512) 476-2857
Mailing address
3807 SPICEWOOD SPRINGS RD, STE 200, AUSTIN, TX 78759-8965
(512) 476-9195
(512) 476-2857
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021HW
BCBS GROUP BILLING ID
TX
01
—
CK3641
RR MEDICARE GRP NUMBER
TX
Enumeration date
01/22/2008
Last updated
05/07/2012
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