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

Proderm PLLC

Organization MOHS-Micrographic Surgery Physician · NPI 1184410987

Proderm PLLC is an MOHS-Micrographic Surgery Physician in Austin, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4516 Seton Center Pkwy Ste 150
Austin, TX 78759-5370
Phone: (512) 535-6000
Fax: (512) 610-0262
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1184410987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sydney Proffer — Sole Member · (512) 535-6000
Other names Proderm Skin & Surgery; Proderm Skin & Surgery
NPI enumeratedApril 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address4516 Seton Center Pkwy, Ste 150, Austin, TX 78759-5370

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