1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Dermatology
  6. NPI Profile

DERMATOLOGY SPECIALISTS OF SAN ANTONIO, PLLC
NPI 1275925869
Dermatology in San Antonio, TX

Active since February 19, 2015
2520 BROADWAY ST STE 202, SAN ANTONIO, TX 78215(210) 541-4884(210) 541-4900 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2022, Aug 24, 2021 (2 updates tracked since 2021).

About Dermatology Specialists Of San Antonio, Pllc NPPES

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

DERMATOLOGY SPECIALISTS OF SAN ANTONIO, PLLC (NPI 1275925869) is a healthcare organization registered as a dermatology in San Antonio, Texas and active in the NPI registry since February 2015. The organization lists Nicole Marie Owens, Managing Owner, as its authorized official.

NPPES Registry Identity

NPI1275925869
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPECIALISTS OF SAN ANTONIO, PLLC
Location Address2520 BROADWAY ST STE 202San Antonio, TX 78215-1149
Mailing Address4919 Memorial Hwy Ste 150Tampa, FL 33634-7516 · (813) 333-1512 · Fax (813) 333-1561
Phone(210) 541-4884
Fax(210) 541-4900
Organization SubpartNo
Authorized OfficialNicole Marie OwensManaging Owner · (210) 541-4884
Enumeration DateFebruary 19, 2015
Last NPPES UpdateApril 19, 20222 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1275925869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X
2520 BROADWAY ST STE 202, San Antonio, TX 78215
Open in Google Maps ↗

Other Identifiers 1

OtherH000R0R101TX · Bcbstx

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2239532

Dermatology Specialists Of San Antonio · San Antonio, TX
Expired · Aug 1, 2026
CLIA Number45D2239532
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorNicole Owens
Laboratory Phone(210) 541-4884
Laboratory LocationDermatology Specialists Of San Antonio2520 Broadway Street, Suite 202, San Antonio, TX 78215
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 3

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

VALERIE FISHER SHIU MD
Dermatology (MOHS-Micrographic Surgery)
2520 BROADWAY ST STE 202
SAN ANTONIO, TX 78215
Bexar County (210) 541-4884
DR. MEAGAN OLIVIA HARRIS M.D.
Dermatology
2520 BROADWAY ST STE 202
SAN ANTONIO, TX 78215
Bexar County (210) 541-4884
MS. GABRIELLA R CARRIZALES PA-C
Physician Assistant
2520 BROADWAY ST STE 202
SAN ANTONIO, TX 78215
Bexar County (210) 541-4884

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 Dermatology Specialists Of San Antonio, PLLC's NPI number?

The NPI number for Dermatology Specialists Of San Antonio, PLLC is 1275925869. It was assigned to this organization in the NPPES registry on February 19, 2015.

Where is Dermatology Specialists Of San Antonio, PLLC located?

Dermatology Specialists Of San Antonio, PLLC is located at 2520 Broadway St Ste 202, San Antonio, TX 78215. The listed phone number is (210) 541-4884.

What is Dermatology Specialists Of San Antonio, PLLC's specialty?

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

What insurance does Dermatology Specialists Of San Antonio, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Dermatology Specialists Of San Antonio, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Specialists Of San Antonio, PLLC was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.