Organization
WESTLAKE DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A. NIKOLAIDIS MD (OWNER)
(512) 328-3376
Entity
Organization
Contact information
Practice address
7515 GREENVILLE AVE STE 1030, DALLAS, TX 75231-3866
(972) 512-4800
(214) 484-9994
Mailing address
8825 BEE CAVES RD STE 100, AUSTIN, TX 78746-4721
(512) 328-3376
(512) 666-3767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
10/20/2020
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