Organization Active NPI

Pediatric Dermatology of No. TX

Doing business as Fred E Ghali, MD

  • Pediatric Dermatology Physician
  • Grapevine, TX
National Provider Identifier
1487060679
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
Legal business name
PEDIATRIC DERMATOLOGY OF NO. TX
Doing business as
Fred E Ghali, MD
Practice address
1325 W Northwest Hwy
Grapevine, TX 76051-3141
Phone
(817) 421-3376
Fax
(817) 416-4269
NPI assigned
Jul 8, 2014
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIC DERMATOLOGY OF NO. TXAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. Fred E Ghali, MDNPI 1639286339
Title
Owner
Phone
(817) 421-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NP0225X Primary

Addresses

Primary practice location

1325 W Northwest Hwy
Grapevine, TX 76051-3141

Mailing address

1325 W Northwest Hwy
Grapevine, TX 76051-3141
Phone (817) 421-3376

Other names 1

  • Fred E Ghali, MD Doing business as

National Provider Directory

National Provider Directory
Part of
Pediatric Dermatology of No TX

Locations

610 Uptown Blvd
Ste 610
Cedar Hill, TX 75104
Phone (972) 283-8979

10711 Preston Rd
Ste 100
Dallas, TX 75230

12222 Coit Rd
Dallas, TX 75251

12700 Park Central Dr
Ste 150B
Dallas, TX 75251

1325 W Northwest Hwy
Grapevine, TX 76051
Phone (817) 421-3376

2570 Justin Rd
Ste 160
Lewisville, TX 75077
Phone (972) 236-7060

7300 Eldorado Pkwy
Ste 100
McKinney, TX 75070

5072 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (972) 362-9567

7000 Preston Rd
Ste 500
Plano, TX 75024

Practitioners & affiliated clinicians

Practitioners 93

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.

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1487060679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W NORTHWEST HWY",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513141",
            "telephone_number": "817-421-3376",
            "fax_number": "817-416-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W NORTHWEST HWY",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513141",
            "telephone_number": "817-421-3376",
            "fax_number": "817-416-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DERMATOLOGY OF NO. TX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC DERMATOLOGY OF NO. TX",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "GHALI",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-421-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred E Ghali, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.