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Organization

GAVINO DERMATOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALDE CARLO PATDU GAVINO MD (MD/OWNER)
(737) 377-3143
Entity
Organization

Contact information

Practice address
9073 W STATE HIGHWAY 29 STE 108, LIBERTY HILL, TX 78642-2396
(737) 377-3143
(737) 200-8237
Mailing address
9073 W STATE HIGHWAY 29 STE 108, LIBERTY HILL, TX 78642-2396
(737) 377-3143
(737) 200-8234

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0900X
Dermatopathology Physician

Other

Enumeration date
06/28/2022
Last updated
02/22/2026
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