NPI age
19 years
Enumerated 2006-12-18
● Active Type 2 · Organization
Ladera Park Dermatology, P.A.
Ladera Park Dermatology, P.A. is 1 of 1632 dermatology organizations in Texas.
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dubois
President
Last NPPES update
2013-02-27
Source: monthly bulk 2026-05
How this organization compares
Across 1632 active dermatology providers in Texas.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
11671 Jollyville Rd Ste 104
Austin, TX 787594141
Mailing address
11671 Jollyville Rd Ste 104
Austin, TX 787594141
Authorized official
Janet C Dubois, MD
President
📞 5123453599
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0001MU | BLUE CROSS GROUP NUMBER |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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