Organization · Type 2 NPI

Epiphany Dermatology PA

Dermatology Physician · Waco, TX

NPI number 1043615263 Active

Practice location

7106 Sanger Avenue
Waco, TX 76712-3928

Fax (254) 537-1310

Mailing address

7300 Ranch Road 2222, Bldg 1, Ste 200
Austin, TX 78730-3255

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XQ1815 (TX)
MOHS-Micrographic Surgery Physician 207ND0101XQ1815 (TX)
Radiology Clinic/Center 261QR0200XNone listed

Dermatology Physician: 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 an…

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About NPI 1043615263

Epiphany Dermatology PA's National Provider Identifier is 1043615263, issued on Oct 30, 2014. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Waco, TX. The record was last updated on Jul 21, 2023.