Organization
WESTGATE SKIN & CANCER, PLLC
Active
Organization
WESTGATE SKIN & CANCER, PLLC
Active
Other names
Westgate Skin & Cancer
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKELY S. RICHARDSON D.O. (PHYSICIAN-ONWNER)
(214) 499-1036
Entity
Organization
Contact information
Practice address
2559 WESTERN TRAILS BLVD, SUITE 301, AUSTIN, TX 78745-1565
(512) 815-2559
(888) 419-8625
Mailing address
2559 WESTERN TRAILS BLVD, SUITE 301, AUSTIN, TX 78745-1565
(512) 815-2559
(888) 419-8625
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P7024
TX
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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