MEDICARE: PURE DERMATOLOGY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1346948130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURE DERMATOLOGY PLLC

Provider Business Mailing Address
First Line	:	8701 W HIGHWAY 71 STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8380
Country	:	US
Telephone Number	:	512-766-2610
Fax Number	:	510-766-2620

Provider Business Practice Location Address
First Line	:	8701 W HIGHWAY 71 STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8380
Country	:	US
Telephone Number	:	512-923-8826
Fax Number	:	510-766-2620

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	CHRISTOPHER T CHU
Credential	:	MD
Telephone Number	:	512-766-2610

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	04/15/2026

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Directions to “PURE DERMATOLOGY PLLC ” Practice Location

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