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

Epiphany Dermatology PA

Organization Dermatology Physician · NPI 1043615263

Epiphany Dermatology PA is a Dermatology Physician in Waco, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7106 Sanger Ave
Waco, TX 76712-3928
Phone: (254) 537-1265
Fax: (254) 537-1310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence Q1815 (TX)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence Q1815 (TX)
Radiology Clinic/Center Taxonomy 261QR0200X

Record details

NPI number1043615263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gheorghe Pusta — Ceo · (512) 628-0465
NPI enumeratedOctober 30, 2014
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255

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