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DERMATOLOGY AND SKIN CANCER CLINIC PA
NPI 1912098393
Dermatology - MOHS-Micrographic Surgery in Longview, TX

Active since September 28, 2006
901 WALNUT HILL DR, LONGVIEW, TX 75605(903) 757-8878(903) 757-5985 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology And Skin Cancer Clinic Pa NPPES

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

DERMATOLOGY AND SKIN CANCER CLINIC PA (NPI 1912098393) is a healthcare organization registered as a mohs-micrographic surgery in Longview, Texas and active in the NPI registry since September 2006. The organization lists Stephen John Beck, Owner, as its authorized official.

NPPES Registry Identity

NPI1912098393
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGY AND SKIN CANCER CLINIC PA
Location Address901 WALNUT HILL DRLongview, TX 75605-5054
Mailing Address901 Walnut Hill DrLongview, TX 75605-5054 · (903) 757-8878 · Fax (903) 757-5985
Phone(903) 757-8878
Fax(903) 757-5985
Organization SubpartNo
Authorized OfficialStephen John BeckOwner · (903) 757-8878
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMay 6, 2008
✔ NPI 1912098393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in TX · F3749
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.
Also ListedDermatologyTaxonomy 207N00000X · License F3749 (TX)
901 WALNUT HILL DR, Longview, TX 75605
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Other Identifiers 4

OtherCD8001TX · Railroad Medciare
Other00U13UTX · Blue Cross
Medicaid109529102TX
Medicare PIN00U13UTX

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

Other Providers at the Same Location NPPES

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

VENKATA AMARENDRA MANGALAGIRI MD
Family Medicine
901 WALNUT HILL DR
LONGVIEW, TX 75605
Gregg County (903) 759-7200

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 And Skin Cancer Clinic PA's NPI number?

The NPI number for Dermatology And Skin Cancer Clinic PA is 1912098393. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Dermatology And Skin Cancer Clinic PA located?

Dermatology And Skin Cancer Clinic PA is located at 901 Walnut Hill Dr, Longview, TX 75605. The listed phone number is (903) 757-8878.

What is Dermatology And Skin Cancer Clinic PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Dermatology And Skin Cancer Clinic PA was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.