Wyrick Dermatology Association

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WYRICK DERMATOLOGY ASSOCIATION

Practice address

3333 Potomac Ave
Texarkana, TX 75503-3513

Phone

(903) 792-3787

Fax

(903) 792-0446

NPI assigned

Jul 26, 2005

Last updated

Sep 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott W Wyrick, M.D.NPI 1114920972

Title

President

Phone

(903) 792-3787

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Scott W Wyrick, M.D.

  • Family Medicine Physician
  • Texarkana, TX
  • NPI 1114920972
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1619977295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 POTOMAC AVE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033513",
            "telephone_number": "903-792-3787",
            "fax_number": "903-792-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 POTOMAC AVE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033513",
            "telephone_number": "903-792-3787",
            "fax_number": "903-792-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYRICK DERMATOLOGY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "WYRICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-792-3787",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109371802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145002002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Wright, M.S., CCC-SLP
• Margaret (Peggy) Regan Wright, L.P.C.
• Mark W Wright, MD
• Nathan J Wright, M.D.
• Rachel Wright, PT, DPT, CERT.DN
• Lenore P Wyrick, RN, FNP
• Scott W Wyrick, M.D.
• Andrea Yarbrough, LPC
• Brenda Joyce Yates, MS, LPC
• Kristine Johansson Yells, PH.D., LCSW

• Clinic/Center in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.