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

Mountain West Derm - Austin PLLC

Organization Dermatology Physician · NPI 1396267332

Mountain West Derm - Austin PLLC is a Dermatology Physician in Georgetown, Texas. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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

4513 Williams Dr
Georgetown, TX 78633-1302
Phone: (512) 930-3909
Fax: (512) 240-5469
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Plastic Surgery Physician Taxonomy 208200000X

Record details

NPI number1396267332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suketu Patel — Md · (512) 930-3909
NPI enumeratedJuly 12, 2017
Last updated in NPPESJuly 21, 2022
Mailing address4513 Williams Dr, Georgetown, TX 78633-1302

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