Pediatric Dermatology of No. TX
Organization Active NPI Pediatric Dermatology Physician · Grapevine, TX
NPI 1487060679 · NPPES record last updated Jul 8, 2014
Key facts
- NPI
- 1487060679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dermatology Physician 207NP0225X
- Legal business name
- PEDIATRIC DERMATOLOGY OF NO. TX
- Practice address
- 1325 W Northwest Hwy
Grapevine, TX 76051-3141 - Phone
- (817) 421-3376
- Fax
- (817) 416-4269
- NPI assigned
- Jul 8, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- PEDIATRIC DERMATOLOGY OF NO. TX
Authorized official
- Name
- Dr. Fred E Ghali, MD
- Title
- Owner
- Phone
- (817) 421-3376
Practitioners 92
-
Daniel S. Achtman, M.D.
-
Hollis Adams III, FNP-BC
-
Nayane Kennerly Araujo, PA-C
-
Nicole Martinez Arcement, PA-C
-
Ami Parikh Bhattacharya, MPAS, PA-C
-
Rawn Edward Bosley, M.D.
-
Angela G Bowers, M.D.
-
Joseph Louis Capasso, PA-C
-
Candi Carney, NP-C
-
Amanda Hope Champlain, M.D.
-
Jeaneen Chappell, M.D.
-
Lauren Ashley Chappell, PA-C
-
Heidi Beth Cook, PA-C
-
Chris Wayne Crawford, M. D.
-
Ashley Elizabeth Cupstid, PA-C
-
Trenton D Custis, M.D.
-
Mara Melanie Dacso, M.D
National Provider Directory
- Part of
- Pediatric Dermatology of No TX
Locations
610 Uptown Blvd
Ste 610
Cedar Hill, TX 75104
Phone (972) 283-8979
10703 Preston Rd
Dallas, TX 75230
12700 Park Central Dr
Ste 150B
Dallas, TX 75251
10711 Preston Rd
Ste 100
Dallas, TX 75230
12222 Coit Rd
Ste 102
Dallas, TX 75251
Phone (469) 899-6723
12222 Coit Rd
Dallas, TX 75251
1325 W Northwest Hwy
Grapevine, TX 76051
Phone (817) 421-3376
5072 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (972) 362-9567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dermatology Physician |
207NP0225X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639286339 | Other | TX | TYPE 1 NPI |
Other names
- Fred E Ghali, MD
Other providers in Grapevine, TX
- Gerald Gene Payne Jr.
- Presleigh Ann Payne
- Richard Brett Payne
- Peak Medical PLLC
- Barbara S Peavey
- Pediatric Ophthalmology PA
- Pediatric Sports and Spine Associates
- Pediatric Theraplay Inc
- Amber Peek
- Rebecca Elizabeth Pegues
All providers in Grapevine, TX · Pediatric Dermatology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.