Organization
SKIN AND CANCER INSTITUTE TRAVIS PA
Active
Organization
SKIN AND CANCER INSTITUTE TRAVIS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI MD (OWNER)
(661) 388-5240
Entity
Organization
Contact information
Practice address
401 RANCH ROAD 620 S, LAKEWAY, TX 78734-5302
(661) 388-5240
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
08/07/2026
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