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

Ladera Park Dermatology, PA

Organization Dermatology Physician · NPI 1417010935

Ladera Park Dermatology, PA is a Dermatology Physician in Austin, Texas. Registered with an NPI since 2006.

In the registry since
2006
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

11671 Jollyville Rd Ste 104
Austin, TX 78759-4141
Phone: (512) 345-3599
Fax: (512) 345-3928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1417010935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Dubois — President · (512) 345-3599
NPI enumeratedDecember 18, 2006
Last updated in NPPESFebruary 27, 2013
Mailing address11671 Jollyville Rd Ste 104, Austin, TX 78759-4141

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