Dermatology & Cutaneous Surgery PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY & CUTANEOUS SURGERY PLLC

Practice address

8015 S Cooper St
Arlington, TX 76001-7018

Phone

(817) 453-4440

Fax

(817) 453-7755

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Victoria Watt Serralta, MDNPI 1154366870

Title

Physician

Phone

(817) 453-4440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria W Serralta, MD

  • Dermatology Physician
  • Arlington, TX
  • NPI 1154366870
  Medicare reassignment NPD Authorized official
• Logan Thomas Smith, PA-C

  • Physician Assistant
  • Arlington, TX
  • NPI 1114615382
  NPD
• Sarah Magee

  • Physician Assistant
  • Arlington, TX
  • NPI 1801749882
  NPD (past)
• Karen S Sticka, PA

  • Physician Assistant
  • Hurst, TX
  • NPI 1780838136
  NPD (past)
• Aubry Elyse Van Noy, MPAS, PA-C

  • Physician Assistant
  • Prosper, TX
  • NPI 1750942991
  NPD (past)
• Jayce Rodriguez, PA-C

  • Physician Assistant
  • Carlsbad, NM
  • NPI 1356732267
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1245540202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760017018",
            "telephone_number": "817-453-4440",
            "fax_number": "817-453-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760017018",
            "telephone_number": "817-453-4440",
            "fax_number": "817-453-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & CUTANEOUS SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "SERRALTA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "WATT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-453-4440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharn Kaur Deol
• Jitendra M Deora
• Vijeet Deora, PHARMD
• Department of State Health Services
• Steven Dequeant, LCSW
• Dermatology Place PA
• Dermone Dermatology Associates of Texas PA
• Desired Primary Healthcare LLC
• Chaka Desouza, B.S.N. R.N.
• Destination Life LLC

• Dermatology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.