Compassion Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

N0724 Issued in TX

Legal business name

COMPASSION DERMATOLOGY, PLLC

Practice address

3065 W Southlake Blvd
Ste 140
Southlake, TX 76092-6730

Phone

(817) 380-5911

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Holly Debuys, M.D.

Title

President

Phone

(817) 682-8846

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1942645387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 W SOUTHLAKE BLVD",
            "address_2": "STE 423-16",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926750",
            "telephone_number": "817-380-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 W SOUTHLAKE BLVD",
            "address_2": "STE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926730",
            "telephone_number": "817-380-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "DEBUYS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-682-8846",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N0724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003833658",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwayne Collins, MA, LPC
• Dwayne L. Collins, RN, MSN, FNP-C
• Jill Collins, DPT
• Kennedy Collins
• Compass Christian Counseling Ministries (Compass Counseling)
• Compassion Neuroscience
• Compassionate Psychiatric Services of Southlake PA (Compassionate Psychiatric Services of Southlake)
• Complete Emergency Care Southlake LLC (Complete Care Southlake)
• Cameron Conway, OTR
• Cook Children's Medical Center (Cook Children's Urgent Care Southlake)

• Dermatology Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.