Dermatology Associates of West Texas, LLP
NPI 1679704530ActiveOrganization· Dermatology· Lubbock, TX
Dermatology in Lubbock, Texas, registered in NPPES in July 2009. The authorized official on file is Brent R. Paulger, M.D., Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679704530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2009 |
| Last updated in NPPES | May 15, 2023 |
| Certified by provider | May 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | J6653 M5588 | TX |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | J6653 M5588 | TX |
| Dermatology, Dermatopathology | 207ND0900X | J6653 M5588 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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