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

Q: 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.

Q: 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.

Active since June 01, 2018CLIA 45D2131822 · Certificate of Compliance

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: November 01, 2026.

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

On this page

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 holds a CLIA Certificate of Compliance certificate valid through July 29, 2028, 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

Phone(210) 558-6234

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

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Secondary Practice Locations 2

Location 1813 ParisSan Antonio, TX 78009 · Phone (210) 558-6234 · Fax (210) 446-5039

Location 29238 Floyd Curl Dr Ste 101San Antonio, TX 78240-1691 · Phone (210) 558-6234

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

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Texas Skin Cancer Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to South Texas Skin Cancer Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ryan O Quinn, M.D.

Dermatology

NPI 1205881281

2632 BROADWAY ST STE 300
San Antonio, TX 78215

(210) 558-6234

✔ PECOS✔ Accepts MedicareSame address

Kirsten Smith, MD

General Surgery

NPI 1700095155

7700 FLOYD CURL DR
San Antonio, TX 78229

(706) 863-9595

✔ PECOS7.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Active · expires Jul 29, 2028

CLIA Number45D2131822

Laboratory TypePhysician Office

Certificate Effective DateJuly 30, 2026

Certificate Expiration DateJuly 29, 2028

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.

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.

Is South Texas Skin Cancer Center LLC enrolled in Medicare?

Yes. South Texas Skin Cancer Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Texas Skin Cancer Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to South Texas Skin Cancer Center LLC, in Dermatology and General Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Texas Skin Cancer Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2131822) is associated with this NPI, valid through July 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Texas Skin Cancer Center LLC accept?

Health plans from WellPoint 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.