Active NPI
Family Dermatology
- Dermatology Physician
- Arlington, TX
National Provider Identifier
1821922691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- FAMILY DERMATOLOGY
- Practice address
- 1900 W Pioneer Pkwy
Arlington, TX 76013-6107 - Phone
- (403) 399-7205
- NPI assigned
- Jun 9, 2026
- 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
- Grant Manh-Tri Pham, MD
- Title
- MD
- Phone
- (817) 277-2977
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1900 W Pioneer Pkwy
Arlington, TX 76013-6107
Mailing address
1900 W Pioneer Pkwy
Arlington, TX 76013-6107
Phone (403) 399-7205
National Provider Directory
National Provider DirectoryLocations
1900 W Pioneer Pkwy
Arlington, TX 76013
Phone (817) 275-1199
Practitioners & affiliated clinicians
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.
-
- Dermatology Physician
- Arlington, TX
- NPI 1184251381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1821922691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 W PIONEER PKWY",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760136107",
"telephone_number": "403-399-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W PIONEER PKWY",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760136107",
"telephone_number": "403-399-7205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "MANH-TRI",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "817-277-2977",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.