KHIDJA SEYMOUR (NPI# 1548777683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548777683 |
| Entity Type | Individual |
| Full Name | KHIDJA SEYMOUR |
| Practice Address |
5288 Trail Lake Dr Ste 13 Fort Worth TX 76133-1939 |
| Mailing Address |
2915 Jonah Dr Apt 118 Fort Worth TX 76108-5937 |
| Practice Telephone | 8179176181 |
| Mailing Telephone | 8179176181 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
KK37596 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
KK307596 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5288 TRAIL LAKE DR STE 13 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76133-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619455789 | Steven D Pedro Md Pa | Dermatology | 7833 Oakmont Blvd, Fort Worth, TX 76132-4231 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011229 | A Healthier You LLC | Dermatology | 5722 Forest Bend Dr Ste 110, Arlington, TX 76017-1143 | 2020-10-20 |
| 1124484456 | Texas Surgical Dermatology Pa | Dermatology | 21009 Kuykendahl, Suite A, Spring, TX 77379-0000 | 2015-12-31 |
| 1306263256 | Dallas Dermatology | Dermatology | 3110 Lamar Ave, Paris, TX 75460-5020 | 2014-03-27 |
| 1437461258 | Brundha Balaraman | Dermatology | 4747 Bellaire Blvd Ste 240, Bellaire, TX 77401 | 2010-07-09 |
| 1477726214 | Liet N Le | Dermatology | 22659 Highway 59 N, Ste 140, Kingwood, TX 77339-4406 | 2008-04-11 |
| 1821266743 | Linda C Barrows M.d., P.a. | Dermatology | 6800 West Loop S Ste 525, Bellaire, TX 77401-4529 | 2008-02-13 |
| 1053505701 | Kris L Howard Md Pa | Dermatology | 8141 Dorado Dr, Odessa, TX 79765-8533 | 2007-09-05 |
| 1700990736 | Steven Eric Zimmet | Dermatology | 1500 W 34th St, Austin, TX 78703-1433 | 2006-08-18 |
| 1427080076 | Michael G Lehman Iv | Dermatology | 3517 21st Street, Lubbock, TX 79410 | 2006-07-06 |
| 1659328870 | Carolyn B Lyde Md Pa | Dermatology | 324 W Main Street, Suite 200, Lewisville, TX 75057-3641 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76133 |
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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.