Organization
AUSTIN DERMATOLOGY CLINIC, PA
Active
Organization
AUSTIN DERMATOLOGY CLINIC, PA
Active
Other names
Michael H. Coverman, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HOWARD COVERMAN M.D. (PRESIDENT)
(512) 345-9411
Entity
Organization
Contact information
Practice address
11623 ANGUS RD, SUITE 25, AUSTIN, TX 78759-4041
(512) 345-9411
(512) 345-0392
Mailing address
11623 ANGUS RD, SUITE 25, AUSTIN, TX 78759-4041
(512) 345-9411
(512) 345-0392
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096PM
BLUE CROSS BLUE SHIELD
TX
01
—
DF6572
RAILROAD MEDICARE
—
Enumeration date
08/30/2006
Last updated
10/22/2008
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