Mountain West Derm - Austin Pllc
Mountain West Derm - Austin Pllc is a healthcare organization registered as Dermatology Physician in Georgetown, TX, holding Type 2 (organization) NPI 1396267332 since 2017. The authorized official on file is Suketu Patel, MD.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396267332 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mountain West Derm - Austin Pllc |
| Practice address | 4513 WILLIAMS DR, Georgetown, TX, 78633 |
| Phone | 5129303909 |
| Fax | 5122405469 |
| Enumeration date | 2017-07-12 |
| Last updated in NPPES | 2022-07-21 |
Authorized official
| Name | Suketu Patel |
|---|---|
| Title | MD |
| Phone | 5129303909 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208200000X | Plastic Surgery Physician | Secondary | — | — |
| 207N00000X | Dermatology Physician | Primary | — | — |
Copy-ready billing details
Provider: Mountain West Derm - Austin Pllc NPI: 1396267332 Taxonomy: 207N00000X (Dermatology Physician) Address: 4513 WILLIAMS DR, Georgetown, TX, 78633
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1477501005 | Christopher Conner | Individual | MOHS-Micrographic Surgery Physician | Georgetown, TX |
| 1194766444 | Eric Adelman | Individual | MOHS-Micrographic Surgery Physician | Georgetown, TX |
| 1245242262 | Elizabeth Cabrera | Individual | Dermatology Physician | Georgetown, TX |
| 1881895118 | Kristina Collins | Individual | MOHS-Micrographic Surgery Physician | Georgetown, TX |
| 1023215662 | Vitalogy P.A. | Organization | Dermatology Physician | Georgetown, TX |
| 1639305428 | Brian Nailling | Individual | Physician Assistant | Georgetown, TX |
| 1679808695 | Debra Gauthier | Individual | Family Nurse Practitioner | Georgetown, TX |
| 1972810976 | Amanda Dibenedetto | Individual | Family Nurse Practitioner | Georgetown, TX |
Verify this record
Cross-check NPI 1396267332 against the authoritative CMS record: view Mountain West Derm - Austin Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Mountain West Derm - Austin Pllc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.