Active NPI 1124079306 Individual Practitioner Male Practitioner

Dr. Edward Lewis Lain , MD

Dermatology • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Lain, MD is a certified Dermatology practicing in Austin, TX. With approximately 24 years of clinical experience since graduating from Baylor College Of Medicine in 2002, Dr. Lain delivers high-quality medical care to the local community at 5145 FM 620 N STE B-110.

Dr. Lain is affiliated with Sanova Dermatology Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5145 Fm 620 N Ste B-110

Austin, TX 787321815

Telephone 5122660007

Fax 5122660077

Associated Practice Facility / Clinic

🏢 Dermatology Specialists Of Austin, P.a. Facility NPI 1427009687

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +5.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

101 Specialists

Practicing in Austin, TX (1210 Statewide)

Telehealth Adoption Rate

5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lain (24 Years) 24 Yrs

Austin Specialty Average (18.5 Years) 18.5 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
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	6,000	19	$3.34	$1.67
17003 Destruction of precancer skin growth, 2-14 growths	1,481	234	$14.09	$6.78
99213 Established patient office or other outpatient visit, typically 15 minutes	504	372	$184.47	$90.73
17000 Destruction of skin growth	399	297	$139.89	$53.77
17110 Destruction of up to 14 skin growths	192	161	$239.12	$113.64
11102 Tangential biopsy of single skin lesion	165	142	$213.21	$89.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	108	$260.52	$127.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	63	$116.05	$56.57
17004 Destruction of precancer skin growth, 15 or more growths	72	55	$352.84	$169.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	46	25	$2.10	$0.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$228.09	$111.58
11103 Biopsy of related skin growth, each additional growth	41	26	$105.47	$50.68
11900 Injection into skin growth, 1-7 growths	32	27	$118.80	$44.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	20	$372.27	$176.39
96574 Application of light with debridement to destroy precancer skin growth	20	18	$595.04	$282.94
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	18	$635.57	$307.82
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$509.48	$123.67
10040 Acne surgery	17	15	$243.18	$111.27
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$148.28	$70.72
17111 Destruction of skin growth, 15 or more growths	13	11	$277.89	$135.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$338.12	$166.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,542	247	$14.11	$6.95
99213 Established patient office or other outpatient visit, typically 15 minutes	562	408	$184.27	$90.60
17000 Destruction of skin growth	425	314	$139.72	$52.54
77401 Radiation treatment delivery, superficial	259	15	$87.55	$42.99
17110 Destruction of up to 14 skin growths	220	176	$239.10	$113.33
11102 Tangential biopsy of single skin lesion	198	161	$213.44	$92.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	80	$115.93	$56.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	84	$259.96	$128.54
17004 Destruction of precancer skin growth, 15 or more growths	78	66	$352.94	$174.11
11103 Biopsy of related skin growth, each additional growth	68	46	$105.41	$51.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$227.81	$112.46
11900 Injection into skin growth, 1-7 growths	34	23	$118.75	$44.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	30	22	$2.12	$1.09
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	18	$371.87	$179.29
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$148.11	$71.19
69100 Biopsy of ear	17	16	$201.55	$75.99
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	17	14	$571.48	$281.57
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$636.12	$313.21
11104 Punch biopsy, first skin growth	14	14	$264.12	$130.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$509.20	$125.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$338.12	$166.38
10040 Acne surgery	11	11	$243.60	$120.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,374	223	$16.24	$7.23
99213 Established patient office or other outpatient visit, typically 15 minutes	565	426	$203.24	$93.10
17000 Destruction of skin growth	373	298	$165.17	$53.05
77401 Radiation treatment delivery, superficial	270	15	$83.79	$44.74
17110 Destruction of up to 14 skin growths	241	212	$281.45	$117.91
11102 Tangential biopsy of single skin lesion	176	140	$257.47	$95.48
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	138	15	$850.72	$293.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	70	$124.22	$58.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	67	$293.41	$131.84
17004 Destruction of precancer skin growth, 15 or more growths	84	69	$419.91	$178.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$274.88	$112.85
11103 Biopsy of related skin growth, each additional growth	55	35	$131.45	$54.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	42	21	$5.11	$1.16
77300 Calculation of radiation therapy dose	27	12	$174.55	$68.50
11900 Injection into skin growth, 1-7 growths	22	19	$142.76	$49.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	19	$611.44	$129.13
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	18	$458.74	$183.73
17111 Destruction of skin growth, 15 or more growths	18	17	$324.48	$140.92
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	14	$717.64	$311.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$404.34	$170.22
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	13	$1070.09	$452.34
10040 Acne surgery	13	12	$282.87	$118.64
69100 Biopsy of ear	13	13	$267.59	$71.32
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$191.41	$75.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,792	290	$19.90	$7.03
99213 Established patient office or other outpatient visit, typically 15 minutes	674	482	$256.22	$94.43
17000 Destruction of skin growth	487	371	$204.11	$52.37
17110 Destruction of up to 14 skin growths	307	263	$354.06	$118.27
11102 Tangential biopsy of single skin lesion	243	212	$321.82	$97.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	104	$373.03	$133.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	109	$158.41	$58.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$334.04	$115.44
17004 Destruction of precancer skin growth, 15 or more growths	89	71	$505.79	$176.12
11103 Biopsy of related skin growth, each additional growth	80	42	$166.64	$56.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	58	25	$10.00	$1.29
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$227.03	$75.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	25	$772.57	$131.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	24	$960.41	$322.82
11900 Injection into skin growth, 1-7 growths	26	23	$174.00	$42.46
17111 Destruction of skin growth, 15 or more growths	19	16	$418.37	$142.01
11104 Punch biopsy, first skin growth	18	18	$408.00	$139.23
10040 Acne surgery	16	14	$362.25	$124.31
69100 Biopsy of ear	15	13	$308.07	$80.71
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	12	$1350.92	$461.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$508.50	$148.86
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	11	$550.58	$181.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,028	307	$18.83	$6.38
17000 Destruction of skin growth	571	407	$203.00	$51.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	501	409	$332.79	$111.62
99213 Established patient office or other outpatient visit, typically 15 minutes	489	305	$229.59	$77.08
17110 Destruction of up to 14 skin growths	348	289	$349.86	$115.61
11102 Tangential biopsy of single skin lesion	251	207	$314.00	$90.02
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	195	11	$878.92	$295.21
77401 Radiation treatment delivery, superficial	155	11	$77.06	$25.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	35	$10.00	$1.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	79	$139.80	$46.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$329.00	$110.59
17004 Destruction of precancer skin growth, 15 or more growths	73	58	$490.32	$165.79
99202 New patient office or other outpatient visit, typically 20 minutes	70	70	$233.00	$78.26
11103 Biopsy of related skin growth, each additional growth	48	40	$166.00	$56.00
11900 Injection into skin growth, 1-7 growths	48	30	$171.04	$48.59
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	32	$769.83	$129.61
11104 Punch biopsy, first skin growth	32	32	$395.00	$130.79
77300 Calculation of radiation therapy dose	32	11	$207.38	$69.58
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	25	$944.44	$311.74
10040 Acne surgery	25	24	$341.88	$94.53
17111 Destruction of skin growth, 15 or more growths	24	20	$410.75	$137.88
69100 Biopsy of ear	20	17	$307.40	$82.70
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	19	$1340.50	$430.03
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$840.50	$141.68
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$793.58	$133.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,759	300	$17.30	$5.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	523	426	$330.94	$108.58
17000 Destruction of skin growth	523	390	$200.03	$49.60
99213 Established patient office or other outpatient visit, typically 15 minutes	376	245	$225.95	$74.27
17110 Destruction of up to 14 skin growths	267	216	$340.99	$109.81
11102 Tangential biopsy of single skin lesion	251	208	$305.00	$86.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	110	28	$10.00	$1.59
17004 Destruction of precancer skin growth, 15 or more growths	101	81	$466.90	$153.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$328.93	$107.13
11103 Biopsy of related skin growth, each additional growth	87	51	$164.18	$53.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	50	$138.00	$45.23
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$233.00	$76.53
11900 Injection into skin growth, 1-7 growths	35	24	$167.00	$46.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	30	$763.73	$125.31
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	20	$1327.00	$435.27
69100 Biopsy of ear	21	18	$303.00	$68.65
17111 Destruction of skin growth, 15 or more growths	20	17	$404.00	$132.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$937.30	$299.94
10040 Acne surgery	17	16	$333.41	$90.65
10060 Simple or single drainage of skin abscess	12	12	$365.00	$114.86
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$789.00	$129.46
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$1234.00	$405.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,663	275	$16.14	$5.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	356	$328.00	$108.01
17000 Destruction of skin growth	461	351	$203.00	$50.49
99213 Established patient office or other outpatient visit, typically 15 minutes	375	230	$221.77	$72.44
11100 Biopsy of single growth of skin and/or tissue	262	215	$325.00	$92.15
17110 Destruction of up to 14 skin growths	230	193	$345.98	$113.28
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	190	12	$876.81	$287.77
77401 Radiation treatment delivery, superficial	171	12	$77.99	$25.58
17004 Destruction of precancer skin growth, 15 or more growths	106	79	$444.00	$145.92
11101 Biopsy of each additional growth of skin and/or tissue	81	53	$99.80	$32.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$328.00	$107.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	54	$134.00	$44.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	18	$10.00	$1.76
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$229.00	$73.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	36	32	$764.00	$125.59
11900 Injection into skin growth, 1-7 growths	30	19	$173.00	$40.72
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	25	24	$1312.00	$431.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	18	$931.00	$305.98
17111 Destruction of skin growth, 15 or more growths	20	18	$408.00	$134.19
69100 Biopsy of ear	19	18	$311.00	$69.88
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$1460.00	$479.99
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$834.00	$137.05
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	13	$789.00	$129.73
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	14	$540.00	$178.22
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$136.00	$45.01
10040 Acne surgery	12	11	$339.00	$78.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,309	249	$9.94	$5.61
99213 Established patient office or other outpatient visit, typically 15 minutes	899	440	$95.18	$72.50
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	728	39	$466.20	$277.83
77401 Radiation treatment delivery, superficial	618	40	$38.29	$24.93
17000 Destruction of skin growth	543	412	$94.17	$48.86
11100 Biopsy of single growth of skin and/or tissue	355	286	$145.68	$92.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	275	$172.68	$106.17
17110 Destruction of up to 14 skin growths	246	213	$159.29	$110.12
11101 Biopsy of each additional growth of skin and/or tissue	169	98	$47.85	$32.63
17004 Destruction of precancer skin growth, 15 or more growths	117	95	$238.73	$149.69
99202 New patient office or other outpatient visit, typically 20 minutes	94	94	$99.04	$74.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	42	$29.37	$1.74
11900 Injection into skin growth, 1-7 growths	53	37	$82.89	$41.97
77300 Calculation of radiation therapy dose	50	35	$115.54	$67.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$160.14	$107.81
77334 Design and construction of complex radiation treatment device	40	35	$189.22	$132.27
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	39	32	$380.40	$124.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$118.63	$43.60
77261 Simple radiation therapy planning	39	35	$99.96	$75.55
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	37	27	$681.01	$428.35
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	27	$242.63	$172.51
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	23	$391.34	$298.61
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	24	$343.03	$137.51
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	21	19	$385.12	$276.47
17111 Destruction of skin growth, 15 or more growths	18	18	$185.71	$132.36
10040 Acne surgery	18	17	$141.91	$87.71
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$292.07	$128.73
11200 Removal of skin tag, 1-15 skin tags	14	13	$122.86	$62.10
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$661.40	$477.30
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$60.78	$44.08

Medical Specialties & State Licenses

CMS Verified: 2020-06-09

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License TX M2684

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

Sanova Dermatology Pllc

1601 E Pflugerville Pkwy, Pflugerville, TX 786606148

Phone: 5122523700

Secondary Practice Locations

1601 E Pflugerville Pkwy Ste 1102

Pflugerville, TX 786606148

Phone: 5122523700

Practice Associates & Co-Workers

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

1 Associated Practitioners

Jennifer Jordan , PA

Physician Assistant - Medical

NPI 1164534699

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 11, 2020

Registered at 5145 FM 620 N STE B-110, AUSTIN, TX 787321815 (Tel: 5122660007)

📍

Updated Business Mailing Address March 13, 2020

Registered at 5145 FM 620 N STE B-110, AUSTIN, TX 787321815 (Tel: 5122660007)

✅

NPI Profile Active December 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2011

Registered at 4300 N QUINLAN PARK RD, SUITE 225, AUSTIN, TX 787326067 (Tel: 5122660007)

📍

Updated Business Mailing Address December 28, 2011

Registered at 4300 N QUINLAN PARK RD, SUITE 225, AUSTIN, TX 787326067 (Tel: 5122660007)

👤

Provider Name / Credentials Updated December 28, 2011

Recorded as EDWARD LAIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2011

Dermatology (License #M2684 in TX)

🟢

Initial NPI Registration & Enumeration May 13, 2006

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: 1124079306

Entity Type:

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

Enumeration Date: May 13, 2006

Last Update: June 09, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5145 Fm 620 N Ste B-110

Austin, TX 787321815

Phone: 5122660007

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.