Active NPI
Define Dermatology PLLC
- MOHS-Micrographic Surgery Physician
- Wichita Falls, TX
National Provider Identifier
1609576404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- DEFINE DERMATOLOGY PLLC
- Practice address
- 4327 Barnett Rd
Wichita Falls, TX 76310-2303 - Phone
- (940) 687-3376
- Fax
- (940) 514-9104
- NPI assigned
- Mar 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Minka, DO
- Title
- Manager
- Phone
- (770) 906-0794
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary | ||
| Procedural Dermatology Physician | 207NS0135X | |||
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X |
Addresses
Primary practice location
4327 Barnett Rd
Wichita Falls, TX 76310-2303
Mailing address
4 Burnside Ste 200
Wichita Falls, TX 76310-1128
Phone (940) 687-3376
Other names 1
- The Skin Cancer Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230504000724 | TX | Part B Supplier - Clinic/Group Practice | 4486019072 |
Receives reassigned benefits from 2 practitioners Practice locations: Wichita Falls, TX |
National Provider Directory
National Provider DirectoryLocations
4 Burnside
Ste 200
Wichita Falls, TX 76310
Phone (940) 687-3376
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Wichita Falls, TX
- NPI 1679993265
Dermatology, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768780800000",
"number": "1609576404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BURNSIDE STE 200",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763101128",
"telephone_number": "940-687-3376",
"fax_number": "940-687-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4327 BARNETT RD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763102303",
"telephone_number": "940-687-3376",
"fax_number": "940-514-9104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEFINE DERMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-09",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A",
"authorized_official_last_name": "MINKA",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "770-906-0794",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Skin Cancer Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.