Provider Demographics
NPI:1053653949
Name:TEXAS DERMATOLOGY AND LASER SPECIALISTS PLLC
Entity Type:Organization
Organization Name:TEXAS DERMATOLOGY AND LASER SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-829-5180
Mailing Address - Street 1:PO BOX 1357
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78295-1357
Mailing Address - Country:US
Mailing Address - Phone:210-829-5180
Mailing Address - Fax:
Practice Address - Street 1:3320 OAKWELL CT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-3019
Practice Address - Country:US
Practice Address - Phone:210-829-5180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9115207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty