Blackburn Woolfolk Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

Q3314 Issued in TX

Legal business name

BLACKBURN WOOLFOLK DERMATOLOGY, PLLC

Practice address

4520 N Macarthur Blvd Ste 100
Irving, TX 75038-1235

Phone

(214) 630-5256

Fax

(214) 630-2251

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Daneeque Woolfolk, M.D.NPI 1285927269

Title

Managing Member

Phone

(214) 630-5256

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Daneeque J Woolfolk, M.D.

  • Dermatology Physician
  • Irving, TX
  • NPI 1285927269
  Medicare reassignment Care Compare group Authorized official
• Erin Russell, PA-C

  • Physician Assistant
  • Irving, TX
  • NPI 1730591744
  Medicare reassignment Care Compare group
• Jamil Waters, MPAS, PA-C

  • Physician Assistant
  • Irving, TX
  • NPI 1699275255
  Medicare reassignment Care Compare group
• Athena Karin Craven, P.A

  • Physician Assistant
  • Irving, TX
  • NPI 1316495187
  NPD
• Raymond C Blackburn, MD

  • Dermatology Physician
  • Dallas, TX
  • NPI 1831154988
  NPD (past)

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1447619291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 N MACARTHUR BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750381235",
            "telephone_number": "214-630-5256",
            "fax_number": "214-630-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 N MACARTHUR BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750381235",
            "telephone_number": "214-630-5256",
            "fax_number": "214-630-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBURN WOOLFOLK DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "WOOLFOLK",
        "authorized_official_first_name": "DANEEQUE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-630-5256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q3314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biostat Imaging
• Stella Birgen
• Josephine S. Birondo
• Alison Adams Black, M.D.
• Jason Black, D.C.
• Aleya Renea Blackman, DC
• Margaret C Blackmon, CPNP
• Rodney Mark Blackmore, D.D.S.
• Hannah Elaine Blaeser, MS, SLP CF
• Kyle Matthew Blake, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.