Organization
ABILENE DERMATOLOGY AND SKIN SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SINA ABOUTALEBI MD (VICE PRESIDENT)
(325) 672-5603
Entity
Organization
Contact information
Practice address
3190 ANTILLEY RD, ABILENE, TX 79606-5006
(325) 672-5603
(325) 672-6570
Mailing address
3190 ANTILLEY ROAD, ABILENE, TX 79606-5015
(325) 672-5603
(325) 672-6570
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087QH
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
CG5724
RAILROAD MEDICARE
TX
Enumeration date
11/02/2007
Last updated
11/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us