Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dermatology Specialists of San Antonio, PLLC

Organization Dermatology Physician · NPI 1275925869

Dermatology Specialists of San Antonio, PLLC is a Dermatology Physician in San Antonio, Texas. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2520 Broadway St Ste 202
San Antonio, TX 78215-1149
Phone: (210) 541-4884
Fax: (210) 541-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X

Record details

NPI number1275925869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Owens — Managing Owner · (210) 541-4884
NPI enumeratedFebruary 19, 2015
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022
Mailing address4919 Memorial Hwy Ste 150, Tampa, FL 33634-7516

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