DERMATOLOGY ASSOCIATES OF WEST TEXAS, LLP
NPI 1679704530
Dermatology in Lubbock, TX

Q: What is Dermatology Associates Of West Texas, LLP's specialty?

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

Active since July 27, 2009CLIA Certified · 3 labs

2202 ITHACA AVE, LUBBOCK, TX 79410(806) 797-1202(806) 797-4854 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2023, Feb 2, 2023, May 15, 2020 (3 updates tracked since 2020).

On this page

About Dermatology Associates Of West Texas, Llp NPPES

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

DERMATOLOGY ASSOCIATES OF WEST TEXAS, LLP (NPI 1679704530), doing business as Paulger & Wisniewski Dermatology, Llp, is a healthcare organization registered as a dermatology in Lubbock, Texas and active in the NPI registry since July 2009. The organization holds 3 active CLIA laboratory certificates and lists Brent R. Paulger, Partner, as its authorized official.

NPPES Registry Identity

NPI1679704530

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameDERMATOLOGY ASSOCIATES OF WEST TEXAS, LLP

Location Address2202 ITHACA AVELubbock, TX 79410-1332

Mailing Address2202 Ithaca AveLubbock, TX 79410-1332 · (806) 797-1202 · Fax (806) 797-4854

Phone(806) 797-1202

Fax(806) 797-4854

Organization SubpartNo

Authorized OfficialBrent R. PaulgerPartner · (806) 797-1202

Enumeration DateJuly 27, 2009

Last NPPES UpdateMay 15, 20233 updates tracked since enumeration

NPPES CertifiedMay 15, 2023

✔ NPI 1679704530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in TX · J6653 M5588

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 · License J6653 M5588 (TX)

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License J6653 M5588 (TX)

2202 ITHACA AVE, Lubbock, TX 79410

Open in Google Maps ↗

Other Names 1

Former Legal Business NamePaulger & Wisniewski Dermatology, Llp

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 45D0936943

Dermatology Associates Of West Texas, LLP · Lubbock, TX

Active · expires Mar 29, 2028

CLIA Number45D0936943

Laboratory TypePhysician Office

Certificate Effective DateMarch 30, 2026

Certificate Expiration DateMarch 29, 2028

Laboratory DirectorKeith W. Wisniewski, MD

Laboratory Phone(806) 797-1202

Laboratory LocationDermatology Associates Of West Texas, LLP2202 Ithaca, Lubbock, TX 79410

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.

Certificate of Compliance 45D2242248

Dermatology Associates Of West Texas, LLP · Lubbock, TX

Active · expires Aug 13, 2027

CLIA Number45D2242248

Laboratory TypePhysician Office

Certificate Effective DateAugust 14, 2025

Certificate Expiration DateAugust 13, 2027

Laboratory DirectorKeith W. Wisniewski

Laboratory Phone(806) 797-1202

Laboratory LocationDermatology Associates Of West Texas, LLP2310 Indiana Ave, Lubbock, TX 79410

CLIA data matches this NPI record on: 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1013061

Dermatology Associates Of West Texas, LLP · Denver City, TX

Active · expires May 28, 2027

CLIA Number45D1013061

Laboratory TypePhysician Office

Certificate Effective DateMay 29, 2025

Certificate Expiration DateMay 28, 2027

Laboratory DirectorBrent R. Paulger

Laboratory Phone(806) 797-1202

Laboratory LocationDermatology Associates Of West Texas, LLP419 North Avenue F, Denver City, TX 79323

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DR. BRENT R. PAULGER M.D.

Dermatology