SOUTH TEXAS DERMATOPATHOLOGY LAB PA – NPI #1265431456
Pathology

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

SOUTH TEXAS DERMATOPATHOLOGY LAB PA is a pathologist located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1265431456 to SOUTH TEXAS DERMATOPATHOLOGY LAB PA on July 19, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ZD0900X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Dermatopathology

The NPI profile was previously updated about 14 years ago on Jul 12, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH TEXAS DERMATOPATHOLOGY LAB PA below.

NPI Profile for
SOUTH TEXAS DERMATOPATHOLOGY LAB PA

NPI Number
1265431456
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH TEXAS DERMATOPATHOLOGY LAB PA
Primary location
1122 AUSTIN HWY
SAN ANTONIO, TX 78209-4844
Phone: (210) 342-6488 Fax: (210) 342-6725
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS DAVIS
LABORATORY DIRECTOR
Phone: (210) 342-6488
Updated
Identifiers

Identifiers for SOUTH TEXAS DERMATOPATHOLOGY LAB PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERMEDICARE RRTX690004679
OTHERPACIFICALETX90013183
MEDICAIDFL912055600
MEDICAIDKS100245340A
MEDICAIDMN116882
MEDICAIDMT0421345
MEDICAIDND13211
MEDICAIDTX110795501
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZD0900X
- Pathology / Dermatopathology (Primary)
TX G4960

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.