TEXAS DERMATOLOGY AND LASER SPECIALISTS PLLC – Dermatology Physician, NPI 1053653949
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TEXAS DERMATOLOGY AND LASER SPECIALISTS PLLC
PO BOX 1357
SAN ANTONIO, TX 782951357
Phone: (210) 829-5180
Type: Mailing
1763 Medical Way Ste B
New Braunfels, TX 781325415
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
3326 Oakwell Court
SAN ANTONIO, TX 78218
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
21727 Ih 10 W Ste 202
San Antonio, TX 782572107
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
3349 S Highway 181 Ste 6
Kenedy, TX 781195247
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
5000 Schertz Pkwy Ste 400
Schertz, TX 781541457
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
8019 S New Braunfels Ste 120
San Antonio, TX 782351069
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
3320 OAKWELL CT
SAN ANTONIO, TX 782183128
Phone: (210) 829-5180
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20130618000015 | O | Clinic/Group Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78295)
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