Organization
WESTLAKE DERMATOLOGY OF SAN ANTONIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY A. NIKOLAIDIS MD (PRESIDENT)
(512) 328-3376
Entity
Organization
Contact information
Practice address
5500 BROADWAY AVE STE R100, ALAMO HEIGHTS, TX 78209
(210) 802-0085
(210) 775-0082
Mailing address
8825 BEE CAVES RD STE 100, AUSTIN, TX 78746-4721
(512) 328-3376
(512) 666-3767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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