SOUTH TEXAS SKIN CANCER CENTER LLC
NPI 1902398365
Dermatology - MOHS-Micrographic Surgery in San Antonio, TX

Active since June 01, 2018
2632 BROADWAY ST, STE 300 SOUTH, SAN ANTONIO, TX 78215(210) 558-6234(210) 446-5039 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2020, Dec 10, 2019, Nov 21, 2019 (3 updates tracked since 2019).

About South Texas Skin Cancer Center Llc NPPES

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

SOUTH TEXAS SKIN CANCER CENTER LLC (NPI 1902398365) is a healthcare organization registered as a mohs-micrographic surgery in San Antonio, Texas and active in the NPI registry since June 2018. The organization maintains 2 additional practice locations and lists Stephanie A. Flores, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1902398365
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSOUTH TEXAS SKIN CANCER CENTER LLC
Location Address2632 BROADWAY ST, STE 300 SOUTHSan Antonio, TX 78215-1137
Mailing Address2632 Broadway St Ste 300sSan Antonio, TX 78215-1137 · (210) 558-6234 · Fax (210) 446-5039
Fax(210) 446-5039
Organization SubpartNo
Authorized OfficialStephanie A. FloresBilling Supervisor · (210) 890-1508
Enumeration DateJune 1, 2018
Last NPPES UpdateJanuary 30, 20203 updates tracked since enumeration
NPI 1902398365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
2632 BROADWAY ST, San Antonio, TX 78215

Secondary Practice Locations 2

Location 19238 Floyd Curl Dr Ste 101San Antonio, TX 78240-1691 · Phone (210) 558-6234
Location 2813 ParisSan Antonio, TX 78009 · Phone (210) 558-6234 · Fax (210) 446-5039

Other Identifiers 1

Medicaid1902398365TX

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

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 45D2131822

South Texas Skin Cancer Center · Castroville, TX
Expired · Jul 31, 2026
CLIA Number45D2131822
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorRyan O Quinn
Laboratory Phone(210) 558-6234
Laboratory LocationSouth Texas Skin Cancer Center813 Paris Street, Castroville, TX 78009
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.

Other Providers at the Same Location NPPES 10

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

Specialist
2632 BROADWAY ST, SUITE 201-202
SAN ANTONIO, TX 78215
Obstetrics & Gynecology
2632 BROADWAY ST, SUITE 301N
SAN ANTONIO, TX 78215
Dermatology
2632 BROADWAY ST, SUITE 202 SOUTH
SAN ANTONIO, TX 78215
Obstetrics & Gynecology
2632 BROADWAY ST, SUITE 301N
SAN ANTONIO, TX 78215
Hearing Aid Equipment
2632 BROADWAY ST, STE. 201-202
SAN ANTONIO, TX 78215
Dermatology (MOHS-Micrographic Surgery)
2632 BROADWAY ST, 201 SOUTH
SAN ANTONIO, TX 78215
Surgery
2632 BROADWAY ST, SUITE 102 NORTH
SAN ANTONIO, TX 78215
Medical Genetics (Clinical Genetics (M.D.))
2632 BROADWAY ST, SUITE 104 SOUTH
SAN ANTONIO, TX 78215

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 South Texas Skin Cancer Center LLC's NPI number?

The NPI number for South Texas Skin Cancer Center LLC is 1902398365. It was assigned to this organization in the NPPES registry on June 1, 2018.

Where is South Texas Skin Cancer Center LLC located?

South Texas Skin Cancer Center LLC is located at 2632 Broadway St Ste 300 South, San Antonio, TX 78215. The listed phone number is (210) 558-6234.

What is South Texas Skin Cancer Center LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

What insurance does South Texas Skin Cancer Center LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list South Texas Skin Cancer Center LLC 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 South Texas Skin Cancer Center LLC was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.