NPI 1699044800 · live from the CMS NPI Registry
Balcones Dermatology Associates, P.A.
Dermatology in Austin, TX. National Provider Identifier 1699044800, active.
NPI record
| NPI | 1699044800 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 7800 N. Mo Pac Expwy,, Ste 315, Austin, TX 78759 |
| Practice phone | 512-459-4869 |
| Enumerated | December 16, 2011 |
| Last updated | April 27, 2026 |
| Authorized official | David Bushore, President, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | L6307 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.