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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