Aspire Skin Health, PLLC
Organization Active NPI Dermatopathology (Pathology) Physician · Willow Park, TX
NPI 1568031995 · NPPES record last updated Dec 31, 2023
Key facts
- NPI
- 1568031995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatopathology (Pathology) Physician 207ZD0900X
- Legal business name
- ASPIRE SKIN HEALTH, PLLC
- Practice address
- 211 Crown Pointe Blvd Ste 300
Willow Park, TX 76087-1309 - Phone
- (817) 482-0000
- NPI assigned
- Jun 21, 2021
- Organization subpart
- No
Authorized official
- Name
- Cameran Nguyen, DO
- Title
- Physician
- Phone
- (817) 482-0000
Practitioners 1
-
Cameran Nguyen, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2228148 | Aspire Skin Health | Compliance | Mar 30, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210723001284 | TX | Part B Supplier - Clinic/Group Practice | 9830592195 |
Receives reassigned benefits from 1 practitioner Practice locations: Willow Park, TX |
National Provider Directory
Locations
1801 Rufe Snow Dr
Ste 100
Keller, TX 76248
Phone (817) 380-5000
211 Crown Pointe Blvd
Ste 300
Willow Park, TX 76087
Phone (817) 482-0000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician |
207ZD0900X | Yes | ||
| General Practice Physician |
208D00000X |
Addresses
Primary practice location
211 Crown Pointe Blvd Ste 300
Willow Park, TX 76087-1309
Mailing address
211 Crown Pointe Blvd Ste 300
Willow Park, TX 76087-1309
Phone (817) 482-0000
Other providers in Willow Park, TX
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- Ashley Alexander
- Shayla Alexander
- Angelina Andrade
- Fiona Giretta Atitso
- Jennifer Baars
- Agna Elizabeth Bailey
- Jessica Bailey
- Michele Bailey
All providers in Willow Park, TX · Dermatopathology (Pathology) 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 Dec 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.