Organization Active NPI

United Dermatology Associates of Euless PLLC

Doing business as Uda

  • Dermatology Physician
  • Euless, TX
National Provider Identifier
1528829025
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
UNITED DERMATOLOGY ASSOCIATES OF EULESS PLLC
Doing business as
Uda
Practice address
2101 Westpark CT Ste 150
Euless, TX 76040-3717
Phone
(817) 261-1122
Fax
(817) 207-4189
NPI assigned
Jan 22, 2024
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Mrs. Erica Barron
Title
Regional Manager
Phone
(817) 261-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

2101 Westpark CT Ste 150
Euless, TX 76040-3717

Mailing address

723 N Fielder Rd Ste C
Arlington, TX 76012-4662
Phone (817) 261-1122

Other names 1

  • UDA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416001491 TX Part B Supplier - Clinic/Group Practice 2961841572 Receives reassigned benefits from 11 practitioners
Practice locations: Euless, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2305127United Dermatology Associates of Euless, PLLC2101 Westpark CT Ste 150, Euless, TX 76040Provider-performed microscopyMay 23, 2028

National Provider Directory

National Provider Directory

Locations

723 N Fielder Rd
Ste C
Arlington, TX 76012
Phone (817) 261-1122

2101 Westpark Ct
Ste 150
Euless, TX 76040
Phone (817) 261-1122

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1528829025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N FIELDER RD STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124662",
            "telephone_number": "817-261-1122",
            "fax_number": "817-207-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WESTPARK CT STE 150",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403717",
            "telephone_number": "817-261-1122",
            "fax_number": "817-207-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DERMATOLOGY ASSOCIATES OF EULESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "817-261-1122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.