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DERMASURGERY SPECIALIST PLLC NPI 1063988541


NPI Information

NPI: 1063988541
Provider Name: DERMASURGERY SPECIALIST, PLLC

Doing Business As: SKIN SURGERY INSTITUTE (OF DFW)

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 45D2159884

Address:
2020 W STATE HIGHWAY 114 STE 340
GRAPEVINE, TX
ZIP 76051
Phone: (817) 464-5000
Get Directions

DERMASURGERY SPECIALIST, PLLC is a mohs-micrographic surgery dermatology in Grapevine, TX. The provider is 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. DERMASURGERY SPECIALIST, PLLC NPI is 1063988541. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Skin Surgery Institute (of Dfw).

The provider's business location address is:

2020 W STATE HIGHWAY 114 STE 340
GRAPEVINE, TX
ZIP 76051-650
Phone: (817) 464-5000

The provider's authorized official is Saira B Momin .
The authorized official title is Owner/president and has the following contact phone number (817) 464-5000.

The CLIA number assigned to this NPI record is 45D2159884 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 11/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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