AUSTIN DERMCARE MSO, LLC
NPI 1245417294
Dermatology in Austin, TX

Active since January 22, 2008CLIA 45D0504849 · Certificate of Compliance
3807 SPICEWOOD SPRINGS RD, STE 200, AUSTIN, TX 78759(512) 476-9195(512) 476-2857 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Austin Dermcare Mso, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUSTIN DERMCARE MSO, LLC (NPI 1245417294) is a healthcare organization registered as a dermatology in Austin, Texas and active in the NPI registry since January 2008. The organization holds a CLIA Certificate of Compliance certificate valid through November 13, 2026 and lists Mary Ann Sims, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1245417294
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAUSTIN DERMCARE MSO, LLC
Location Address3807 SPICEWOOD SPRINGS RD, STE 200Austin, TX 78759-8965
Mailing Address3807 Spicewood Springs Rd, Ste 200Austin, TX 78759-8965 · (512) 476-9195 · Fax (512) 476-2857
Fax(512) 476-2857
Organization SubpartNo
Authorized OfficialMary Ann SimsOffice Manager · (512) 476-9195
Enumeration DateJanuary 22, 2008
Last NPPES UpdateMay 7, 2012
NPI 1245417294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3807 SPICEWOOD SPRINGS RD, Austin, TX 78759

Other Identifiers 3

Other0021HWTX · Bcbs Group Billing Id
Medicare PIN00486UTX
OtherCK3641TX · Rr Medicare Grp Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D0504849

Austin Dermcare · Austin, TX
Active · expires Nov 13, 2026
CLIA Number45D0504849
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorDr. Laura Lester
Laboratory Phone(512) 476-9195
Laboratory LocationAustin Dermcare3807 Spicewood Springs Rd, Ste 200, Austin, TX 78759
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3807 SPICEWOOD SPRINGS RD, SUITE 200
AUSTIN, TX 78759
Dermatology
3807 SPICEWOOD SPRINGS RD, SUITE 200
AUSTIN, TX 78759
Dermatology
3807 SPICEWOOD SPRINGS RD, SUITE 200
AUSTIN, TX 78759
Dermatology
3807 SPICEWOOD SPRINGS RD, SUITE 200
AUSTIN, TX 78759
Plastic Surgery
3807 SPICEWOOD SPRINGS RD, SUITE 201
AUSTIN, TX 78759
Dermatology
3807 SPICEWOOD SPRINGS RD, SUITE 200
AUSTIN, TX 78759
Surgery (Vascular Surgery)
3807 SPICEWOOD SPRINGS RD, SUITE 201
AUSTIN, TX 78759

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Austin Dermcare Mso, LLC's NPI number?

The NPI number for Austin Dermcare Mso, LLC is 1245417294. It was assigned to this organization in the NPPES registry on January 22, 2008.

Where is Austin Dermcare Mso, LLC located?

Austin Dermcare Mso, LLC is located at 3807 Spicewood Springs Rd Ste 200, Austin, TX 78759. The listed phone number is (512) 476-9195.

What is Austin Dermcare Mso, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Austin Dermcare Mso, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0504849) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Austin Dermcare Mso, LLC was last updated on May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.