Organization
WESTLAKE DERMATOLOGY, PA
Active
Organization
WESTLAKE DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY A. NIKOLAIDIS MD (OWNER)
(512) 328-3376
Entity
Organization
Contact information
Practice address
2132 BISSONNET ST, HOUSTON, TX 77005-1508
(512) 615-2738
(281) 205-3503
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
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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