Organization
MOUNTAIN WEST DERM - AUSTIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUKETU PATEL (MD)
(512) 930-3909
Entity
Organization
Contact information
Practice address
4513 WILLIAMS DR, GEORGETOWN, TX 78633-1302
(512) 930-3909
(512) 240-5469
Mailing address
4513 WILLIAMS DR, GEORGETOWN, TX 78633-1302
(512) 930-3909
(512) 240-5469
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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