Dermatology Specialists of San Antonio, PLLC
NPI 1275925869ActiveOrganization· Dermatology· San Antonio, TX
Dermatology in San Antonio, Texas, registered in NPPES in February 2015. The authorized official on file is Nicole Marie Owens, MD, Managing Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275925869 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2015 |
| Last updated in NPPES | Apr 19, 2022 |
| Certified by provider | Apr 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Pathology, Dermatopathology | 207ZD0900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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