Organization
PAULGER DERMATOLOGY AND SKIN CANCER CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT R. PAULGER MD (PRESIDENT)
(806) 797-1202
Entity
Organization
Contact information
Practice address
2202 ITHACA AVE, LUBBOCK, TX 79410-1332
(806) 797-1202
(806) 797-4854
Mailing address
2202 ITHACA AVE, LUBBOCK, TX 79410-1332
(806) 797-1202
(806) 797-4854
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00774N
BCBS TEXAS
TX
01
—
NM007456
BCBS NEW MEXICO
NM
Enumeration date
11/15/2006
Last updated
09/11/2025
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