Active NPI 1992118434 Individual Practitioner Male Practitioner

Dr. Dane Hill , MD

Dermatology • Peoria, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dane Hill, MD is a certified Dermatology practicing in Peoria, AZ. With approximately 12 years of clinical experience since graduating from University Of Washington School Of Medicine in 2014, Dr. Hill delivers high-quality medical care to the local community at 7767 W DEER VALLEY RD STE 140.

Dr. Hill is affiliated with Epiphany Dermatology Of Arizona Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, destruction of precancer skin growth, 2-14 growths, removal and microscopic exam of growth of head, neck, hands, feet, or genitals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7767 W Deer Valley Rd Ste 140

Peoria, AZ 853822103

Telephone 6234873003

Associated Practice Facility / Clinic

🏢 Epiphany Dermatology Of Arizona, Llc Facility NPI 1457465858

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Peoria, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -7.3 yrs vs City Avg

City Avg: 19.3 Yrs

State Avg: 18.6 Yrs

Regional Practice Density

19 Specialists

Practicing in Peoria, AZ (369 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hill (12 Years) 12 Yrs

Peoria Specialty Average (19.3 Years) 19.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	805	601	$1990.08	$585.26
17003 Destruction of precancer skin growth, 2-14 growths	787	106	$19.47	$6.42
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	395	244	$1206.72	$397.91
99213 Established patient office or other outpatient visit, typically 15 minutes	238	162	$266.72	$88.09
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	225	203	$1374.58	$230.82
17000 Destruction of skin growth	225	153	$198.55	$45.87
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	207	183	$1241.30	$244.10
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	179	147	$1870.53	$594.84
11102 Tangential biopsy of single skin lesion	145	105	$293.32	$80.12
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	120	112	$921.27	$153.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	114	107	$889.38	$154.69
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	76	73	$1452.05	$242.43
11103 Biopsy of related skin growth, each additional growth	70	40	$146.49	$48.32
88331 Pathology examination of specimen during surgery, first tissue block	63	53	$296.32	$96.17
17110 Destruction of up to 14 skin growths	59	48	$334.03	$106.42
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	59	50	$717.65	$114.67
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	54	42	$1156.18	$375.54
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	50	48	$907.23	$155.47
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	42	39	$1158.31	$321.25
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	39	39	$2254.78	$734.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$375.06	$124.10
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	33	33	$2927.91	$950.34
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	32	30	$2229.28	$735.33
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	29	$524.46	$108.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	12	$15.00	$0.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$166.10	$54.78
17004 Destruction of precancer skin growth, 15 or more growths	24	22	$489.99	$161.91
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	21	20	$2931.76	$966.72
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	19	18	$2700.88	$844.36
69100 Biopsy of ear	16	14	$278.66	$63.22
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	14	13	$1064.79	$175.63
11900 Injection into skin growth, 1-7 growths	14	12	$167.84	$41.63
13133 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less	12	12	$490.01	$161.46
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$825.79	$147.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	787	562	$2002.83	$631.55
17003 Destruction of precancer skin growth, 2-14 growths	712	126	$19.73	$6.59
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	297	200	$1215.65	$406.50
17000 Destruction of skin growth	273	207	$198.14	$44.31
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	255	217	$1395.94	$237.24
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	236	209	$1260.47	$267.50
99213 Established patient office or other outpatient visit, typically 15 minutes	231	170	$265.82	$88.90
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	185	158	$1881.23	$610.65
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	146	135	$935.90	$155.46
11102 Tangential biopsy of single skin lesion	141	107	$299.99	$78.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	112	104	$898.75	$183.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	108	89	$724.05	$124.37
88331 Pathology examination of specimen during surgery, first tissue block	104	87	$300.78	$100.50
17110 Destruction of up to 14 skin growths	71	67	$334.78	$100.28
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	57	52	$1178.08	$324.68
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	54	40	$1164.88	$382.17
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	53	52	$1472.53	$246.19
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	53	53	$840.37	$145.89
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	48	47	$918.54	$153.45
11103 Biopsy of related skin growth, each additional growth	47	20	$148.68	$49.73
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	40	36	$528.58	$97.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$376.18	$125.81
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	27	27	$2265.03	$744.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$165.93	$55.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$330.15	$110.27
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	17	17	$2937.63	$981.47
17004 Destruction of precancer skin growth, 15 or more growths	17	14	$496.78	$166.88
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	15	15	$376.98	$125.95
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	15	15	$2241.11	$724.93
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	15	15	$780.41	$156.38
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	12	$2950.41	$985.78
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$558.87	$93.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4121 Theraskin, per square centimeter	838	14	$150.00	$44.43
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	639	466	$1992.70	$601.04
17003 Destruction of precancer skin growth, 2-14 growths	608	102	$19.32	$6.63
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	279	167	$1209.78	$402.83
17000 Destruction of skin growth	224	160	$196.13	$42.82
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	200	172	$1416.65	$244.94
99213 Established patient office or other outpatient visit, typically 15 minutes	176	128	$268.81	$89.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	160	134	$909.88	$191.77
11102 Tangential biopsy of single skin lesion	142	113	$303.92	$80.76
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	136	111	$1870.31	$602.95
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	113	103	$1281.88	$257.84
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	104	99	$939.62	$158.21
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	70	63	$729.96	$120.82
17110 Destruction of up to 14 skin growths	68	61	$335.08	$98.48
88331 Pathology examination of specimen during surgery, first tissue block	64	57	$302.72	$100.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	17	$25.00	$1.15
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	47	45	$923.47	$157.39
11103 Biopsy of related skin growth, each additional growth	44	24	$154.81	$50.36
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	42	39	$1495.03	$246.66
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	40	38	$1193.78	$335.06
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	40	40	$2265.89	$744.70
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	32	21	$1157.73	$364.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$381.96	$125.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$165.43	$55.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$331.05	$107.11
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	25	25	$2947.59	$978.27
17004 Destruction of precancer skin growth, 15 or more growths	23	21	$491.28	$166.34
11900 Injection into skin growth, 1-7 growths	19	17	$166.00	$48.64
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	17	$842.37	$133.47
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	14	14	$2931.36	$939.66
69100 Biopsy of ear	14	12	$291.45	$61.46
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	12	11	$384.14	$125.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	656	468	$1989.80	$600.31
17003 Destruction of precancer skin growth, 2-14 growths	465	78	$18.81	$6.40
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	363	211	$1201.67	$398.85
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	263	219	$1421.59	$239.18
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	186	168	$1286.19	$254.15
17000 Destruction of skin growth	151	116	$194.74	$44.05
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	127	113	$1865.30	$604.93
99213 Established patient office or other outpatient visit, typically 15 minutes	106	81	$259.25	$90.18
11102 Tangential biopsy of single skin lesion	103	84	$305.16	$82.76
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	87	72	$733.34	$120.09
88331 Pathology examination of specimen during surgery, first tissue block	71	62	$301.83	$99.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	71	63	$911.45	$228.18
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	55	54	$1503.29	$260.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	47	$155.64	$55.33
11103 Biopsy of related skin growth, each additional growth	50	23	$156.44	$52.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	17	$25.00	$1.24
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	46	45	$831.65	$138.43
17110 Destruction of up to 14 skin growths	44	37	$333.91	$96.68
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	43	43	$937.28	$164.36
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	38	33	$1199.92	$316.61
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	35	30	$1153.20	$387.62
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	28	28	$2277.79	$758.63
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	24	23	$922.00	$180.10
11900 Injection into skin growth, 1-7 growths	21	17	$165.57	$37.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$324.50	$107.70
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	20	19	$2942.75	$981.79
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	17	14	$386.88	$129.14
17004 Destruction of precancer skin growth, 15 or more growths	17	13	$483.12	$163.51
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	16	16	$2953.88	$930.67
88332 Pathology examination of specimen during surgery, each additional tissue block	14	12	$160.29	$53.60
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	14	13	$2725.93	$911.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$383.00	$128.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	246	197	$1973.00	$597.80
17003 Destruction of precancer skin growth, 2-14 growths	181	41	$18.66	$5.99
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	157	94	$1183.00	$399.57
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	121	111	$1423.00	$242.55
17000 Destruction of skin growth	64	61	$179.98	$43.33
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	61	55	$1281.00	$244.21
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	48	42	$1849.00	$585.83
11102 Tangential biopsy of single skin lesion	32	32	$276.94	$90.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$220.58	$106.51
17110 Destruction of up to 14 skin growths	25	25	$271.80	$104.31
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$192.04	$74.71
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	24	23	$1504.00	$254.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$131.45	$45.30
11103 Biopsy of related skin growth, each additional growth	17	11	$144.82	$53.07
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	16	15	$2296.00	$717.99
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	15	12	$1130.00	$381.82
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$180.73	$75.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	102	16	$15.00	$4.98
17000 Destruction of skin growth	19	19	$193.00	$48.00
11100 Biopsy of single growth of skin and/or tissue	15	14	$307.00	$93.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$315.00	$102.88
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$213.00	$69.67
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$219.00	$71.66

Medical Specialties & State Licenses

CMS Verified: 2023-03-20

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AZ 59382

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Epiphany Dermatology Of Arizona Llc

7767 W Deer Valley Rd, Peoria, AZ 853822103

Phone: 6234873003

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Andrew Hicks , PA

Physician Assistant - Medical

NPI 1154757995

Physician Assistant

Thomas Lee

Dermatology

NPI 1396122727

Dr. Rosemary Depaoli , MD

Dermatology

NPI 1407830805

Doctor of Medicine (M.D.)

Madison Monaco , PA-C

Dermatology

NPI 1427764588

Physician Assistant (Certified)

Dr. Jennifer Rorex , MD

Dermatology

NPI 1447875372

Doctor of Medicine (M.D.)

Velika Lotwala , PA-C

Physician Assistant

NPI 1619418571

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address March 20, 2023

Registered at 7300 RANCH ROAD 2222, BUILDING 1, STE 200, AUSTIN, TX 78730 (Tel: 5126280465)

📍

Updated Practice Location August 12, 2020

Registered at 7767 W DEER VALLEY RD STE 140, PEORIA, AZ 853822103 (Tel: 6234873003)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2020

Dermatology (License #59382 in AZ)

✅

NPI Profile Active June 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2014

Registered at 133 TOPONCE DR, EVANSTON, WY 829304791 (Tel: 8018216722)

📍

Updated Business Mailing Address June 03, 2014

Registered at 133 TOPONCE DR, EVANSTON, WY 829304791 (Tel: 8018216722)

👤

Provider Name / Credentials Updated June 03, 2014

Recorded as DANE HILL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 03, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992118434

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 03, 2014

Last Update: March 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7300 Ranch Road 2222, Building 1, Ste 200

Austin, TX 78730

Phone: 5126280465

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.