CALYX DERMATOLOGY LLC NPI 1003657198

NPI Information

  • NPI: 1003657198
  • Provider Name: CALYX DERMATOLOGY LLC
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Organization
  • Address: 612 ENCINO PL NE
    ALBUQUERQUE, NM
    ZIP 87102
  • Phone: (240) 367-2980

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NPI Details

CALYX DERMATOLOGY LLC is a mohs-micrographic surgery dermatology in Albuquerque, NM. The provider is 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. CALYX DERMATOLOGY LLC NPI is 1003657198. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

612 ENCINO PL NE
ALBUQUERQUE, NM
ZIP 87102-602
Phone: (240) 367-2980

The provider's authorized official is Catherine Tchanque-fossuo .
The authorized official title is Dermatologist/mohs Surgeon and has the following contact phone number (240) 367-2980.

The enumeration date for this NPI number is 6/4/2024 and was last updated on 7/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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This page was last updated on: 3/30/2025

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