LAS COLINAS DERMATOLOGY PA (NPI# 1407041114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407041114 |
| Entity Type | Organization |
| Organization Name | LAS COLINAS DERMATOLOGY PA |
| Practice Address |
440 W Ih 635 Fwy 365 Irving TX 75063-3768 |
| Practice Telephone | 9724320300 |
| Practice Fax Number | 9724320874 |
| Mailing Telephone | 9724320300 |
| Mailing Fax Number | 9724320874 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2010-03-29 |
| Authorized Official Name | DR. ALISON ADAMS BLACK (OWNER) |
| Authorized Official Telephone | 9724320300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | J1878 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
440 W IH 635 FWY 365 |
| City | IRVING |
| State | TX |
| Zip Code | 75063-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134175904 | David K Gregory | Ophthalmology | 440 W Ih 635 Fwy, Suite 415, Irving, TX 75063-3707 | 2006-05-25 |
| 1437477510 | Las Colinas Ophthalmology Association | Specialist | 440 W Ih 635 Fwy, Suite 355, Irving, TX 75063-3768 | 2010-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770798233 | Dermatology Center,pa | Dermatology | 2015 Westpark Dr, Irving, TX 75061-2113 | 2007-05-10 |
| 1063594299 | Carolyn Kim | Dermatology | 2005 West Park Drive, Suite 120, Irving, TX 75061-7506 | 2006-10-19 |
| 1285634055 | Lawrence B Meyerson | Dermatology | 2021 N Macarthur Blvd #300, Irving, TX 75061-2113 | 2005-07-22 |
| 1851836928 | Pure Dermatology Center | Dermatology | 2005 West Park Drive, Suite 120, Irving, TX 75061 | 2016-12-28 |
| 1083961254 | Dermatology of Irving Pllc | Dermatology | 2021 N Macarthur Blvd, Suite 300, Irving, TX 75061-2219 | 2012-08-07 |
| 1740571496 | Jennifer Natasha David | Dermatology | 2021 N Macarthur Blvd Ste 450, Irving, TX 75061-2219 | 2011-04-28 |
| 1366768079 | Jennifer Marie Quinn | Dermatology | 2021 N Macarthur Blvd, Suite 450, Irving, TX 75061-2219 | 2010-04-20 |
| 1043222714 | Scott Wickless | Dermatology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2006-08-12 |
| 1417957630 | Raymond L Garcia | Dermatology | 2021 N Macarthur Blvd, #300, Irving, TX 75061-2113 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.