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Organization

BALCONES DERMATOLOGY ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID A BUSHORE M.D. (PRESIDENT, OWNER)
(512) 459-4869
Entity
Organization

Contact information

Practice address
7800 N. MO PAC EXPWY,, STE 315, AUSTIN, TX 78759
(512) 459-4869
(512) 453-2795
Mailing address
7800 N. MO PAC EXPWY,, STE 315, AUSTIN, TX 78759
(512) 459-4869
(512) 453-2795

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L6307
TX

Other

Enumeration date
12/16/2011
Last updated
04/27/2026
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