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

Vitalogy PA

Organization Dermatology Physician · NPI 1023215662

Vitalogy PA is a Dermatology Physician in Georgetown, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
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

4513 Williams Dr
Georgetown, TX 78633-1302
Phone: (512) 930-3909
Fax: (512) 240-5469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence M5607 (TX)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence M5607 (TX)

Record details

NPI number1023215662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ramm — Cfo · (512) 930-3909
Other names Vitalogy Skincare
NPI enumeratedJune 28, 2007
Last updated in NPPESFebruary 6, 2017
Mailing address4513 Williams Dr, Georgetown, TX 78633-1302

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