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PROFFER SURGICAL ASSOCIATES LLP NPI 1164441333


NPI Information

NPI: 1164441333
Provider Name: PROFFER SURGICAL ASSOCIATES, LLP
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
1611 WALLACE BLVD
AMARILLO, TX
ZIP 79106
Phone: (806) 354-4900
Get Directions

PROFFER SURGICAL ASSOCIATES, LLP is a mohs-micrographic surgery dermatology in Amarillo, TX. 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. PROFFER SURGICAL ASSOCIATES, LLP NPI is 1164441333. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1611 WALLACE BLVD
AMARILLO, TX
ZIP 79106-799
Phone: (806) 354-4900
Fax: (806) 352-4987

The provider's authorized official is Liana Proffer .
The authorized official title is Physician and has the following contact phone number (806) 354-4900.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/23/2013.


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
1207W00000XOphthalmologyK3932TEXASNo
2208200000XPlastic SurgeryM0532TEXASNo
3207ND0101XDermatologyMOHS-Micrographic SurgeryK6910TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10021NJOTHERTEXASBLUE CROSS BLUE SHIELD
200W663MEDICARE PINTEXAS
3187148501MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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