Organization
SOUTH TEXAS SKIN CANCER CENTER LLC
Active
Organization
SOUTH TEXAS SKIN CANCER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE A. FLORES (BILLING SUPERVISOR)
(210) 890-1508
Entity
Organization
Contact information
Practice address
2632 BROADWAY ST, STE 300 SOUTH, SAN ANTONIO, TX 78215-1137
(210) 558-6234
(210) 446-5039
Mailing address
2632 BROADWAY ST STE 300S, SAN ANTONIO, TX 78215-1137
(210) 558-6234
(210) 446-5039
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902398365
—
TX
Enumeration date
06/01/2018
Last updated
01/30/2020
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