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SKIN MD PA NPI 1215259452


NPI Information

NPI: 1215259452
Provider Name: SKIN MD PA
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 45D2015671

Address:
8820 MARTIN DR
NORTH RICHLAND HILLS, TX
ZIP 76182
Phone: (817) 595-4500
Get Directions

SKIN MD PA is a dermatology in North Richland Hills, TX. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. SKIN MD PA NPI is 1215259452. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8820 MARTIN DR
NORTH RICHLAND HILLS, TX
ZIP 76182-801
Phone: (817) 595-4500
Fax: (817) 595-4505

The provider's authorized official is Tracie Denise Swayden .
The authorized official title is President and has the following contact phone number (817) 595-4500.

The CLIA number assigned to this NPI record is 45D2015671 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/15/2010 and was last updated on 2/15/2010.


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
1207N00000XDermatologyL8526TEXASYes

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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