Photodermic, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PHOTODERMIC, INC.

Practice address

3110 N 1St St
Abilene, TX 79603-7004

Phone

(325) 672-4685

Fax

(325) 672-4693

NPI assigned

Aug 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ladonna Pharris

Title

Owner

Phone

(325) 672-4685

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003823618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3784",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796043784",
            "telephone_number": "325-672-4685",
            "fax_number": "325-672-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 N 1ST ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796037004",
            "telephone_number": "325-672-4685",
            "fax_number": "325-672-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOTODERMIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHARRIS",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-672-4685",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Phillips, LPC
• Maritza Phillips
• Sarah Phillips, PT
• Sarah Phillips, DNP, CRNA
• Yeremyah Yahseph Phillips, PT, DPT
• Brookeana Renee Piatt, PA-C
• Kearney Pickett
• Erica Anne Piehl, CRNA
• Bryanna Marie Pierce, MS, LAT, ATC
• Pamela Piersall

• Specialist in Abilene, TX
• Providers in Abilene, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.