| Medical Skin Associates | |
|
2540 Highway 71 S Suite 100 Columbus TX 78934-9201 | |
| (979) 733-0238 | |
| (979) 733-0178 |
| Full Name | Medical Skin Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 2540 Highway 71 S, Columbus, Texas |
| Authorized Official Name and Position | Charles Robert Gobert (PRESIDENT) |
| Authorized Official Contact | 9797330238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Skin Associates 2540 Highway 71 S Suite 100 Columbus TX 78934-9201 Ph: (979) 733-0238 | Medical Skin Associates 2540 Highway 71 S Suite 100 Columbus TX 78934-9201 Ph: (979) 733-0238 |
| NPI Number | 1174702898 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 05/19/2021 |
| Medicare PECOS PAC ID | 0143290296 |
|---|---|
| Medicare Enrollment ID | O20040727001561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174702898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K9071 (Texas) | Primary |
| Provider Name | Charles R Gobert |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629079199 PECOS PAC ID: 1557343068 Enrollment ID: I20040607000901 |
| Provider Name | Karolyn Sue Mau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851925440 PECOS PAC ID: 4385073501 Enrollment ID: I20200408004151 |
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