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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