Derm Texas LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERM TEXAS LLC

Practice address

2110 Research Row Ste 100C
Dallas, TX 75235-2519

Phone

(214) 845-6426

Fax

(214) 845-7544

NPI assigned

Jul 3, 2021

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Warren, MDNPI 1306801071

Title

Member

Phone

(727) 221-6415

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly John Warren, MD

  • Dermatology Physician
  • Dallas, TX
  • NPI 1306801071
  Medicare reassignment Authorized official
• William Abramovits, M.D.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1154379188
  NPD
• Clay J Cockerell, MD

  • Dermatopathology Physician
  • Dallas, TX
  • NPI 1235119298
  NPD
• Seema J. Daulat, M.D.

  • Dermatology Physician
  • Austin, TX
  • NPI 1154587830
  NPD
• Edward J Zabawski Jr., D.O.

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1386614733
  NPD
• Kimberly Ann Werner Billet, MD

  • Dermatology Physician
  • Frisco, TX
  • NPI 1669787131
  NPD (past)
• Heather Renee Capps, PA-C

  • Physician Assistant
  • Rockwall, TX
  • NPI 1558793190
  NPD (past)
• Candi Carney, NP-C

  • Family Nurse Practitioner
  • Rockwall, TX
  • NPI 1356710263
  NPD (past)
• Dianne Sherill Davis, M.D.

  • Dermatology Physician
  • Allen, TX
  • NPI 1114331634
  NPD (past)
• Tamarae A. Dobbs, FNP-C

  • Nurse Practitioner
  • Gainesville, TX
  • NPI 1720251085
  NPD (past)
• Connie Tran Fiore, M.D.

  • Dermatology Physician
  • Frisco, TX
  • NPI 1902254501
  NPD (past)
• Cayla Holmes, PA-C

  • Physician Assistant
  • McKinney, TX
  • NPI 1134698939
  NPD (past)

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1386215002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 RESEARCH ROW STE 100C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352519",
            "telephone_number": "214-845-6426",
            "fax_number": "214-845-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 RESEARCH ROW STE 100C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352519",
            "telephone_number": "214-845-6426",
            "fax_number": "214-845-7544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 E US Highway 80 Ste B",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751268662",
            "country_code": "US",
            "telephone_number": "214-845-6426",
            "fax_number": "214-845-7544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERM TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "727-221-6415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "address_1": "2110 Research Row Ste 100",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752352520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.