Organization
PAULGER DERMATOLOGY AND SKIN CANCER CENTER, PA
Active
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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