Taxonomy Code 207ND0101X(207nd0101x)
MOHS-Micrographic Surgery Physician. Providers: 3

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MOHS-Micrographic Surgery Physician Providers

NPI Name Type Address

1912098393

Dermatology And Skin Cancer Clinic Pa

Organization

901 Walnut Hill Dr

Longview, TX

1760441893

DR. MD Robert Stanley Taylor III

Individual

3535 N Fourth St Ste 400

Longview, TX

1861489049

DR. M.D. Mark S Wallis

Individual

3535 N Fourth St Ste 400

Longview, TX

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Taxonomy Code 207ND0101X
Specialization MOHS-Micrographic Surgery
Display Name MOHS-Micrographic Surgery Physician
Taxonomy Group Allopathic & Osteopathic Physicians
Taxonomy Classification Dermatology
Definition The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Dermatology Codes

Clinical & Laboratory Dermatological Immunology Physician

207NI0002X • providers: 88

Dermatology Physician

207N00000X • providers: 19,711

Dermatopathology Physician

207ND0900X • providers: 635

Pediatric Dermatology Physician

207NP0225X • providers: 220

Procedural Dermatology Physician

207NS0135X • providers: 936