OrganizationActive
Central Texas Dermatology, PA
NPI 1164566246 · Specialist · West Lake Hills, TX
Provider details
- NPI number
- 1164566246
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Debra Petrie, Biller/Credentialer(512) 327-8449
- License
- F4405 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
102 Westlake Dr
#100
West Lake Hills, TX 78746
Phone: (512) 327-7779
Street-level locationGet directions
Mailing address
102 Westlake Dr
West Lake Hills, TX 78746-5373
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.