HEALTHTEXAS PROVIDER NETWORK--DALLAS DIAGNOSTIC ASSOCIATION (NPI# 1255337275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255337275 |
| Entity Type | Organization |
| Organization Name | HEALTHTEXAS PROVIDER NETWORK--DALLAS DIAGNOSTIC ASSOCIATION |
| Practice Address |
601 Clara Barton Blvd Ste 300 Garland TX 75042-5755 |
| Mailing Address |
8080 N Central Expy Ste 600, Lb82 Dallas TX 75206-1838 |
| Practice Telephone | 9724946235 |
| Practice Fax Number | 9722722073 |
| Mailing Telephone | 9728608648 |
| Mailing Fax Number | 9728608679 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2010-04-22 |
| Authorized Official Name | MRS. ELLEN ELIZABETH FOURTON (DIRECTOR) |
| Authorized Official Telephone | 9728608649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 00R87R | TX | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
00R87R | TX | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
00R87R | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
00R87R | TX | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
00R87R | TX | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
00R87R | TX | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 00R87R | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 00R87R | 01 |
| TX | 0849374-01 | 05 |
| Street Address |
601 CLARA BARTON BLVD STE 300 |
| City | GARLAND |
| State | TX |
| Zip Code | 75042-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447607700 | Ginette Ritter | Clinical Nurse Specialist | 601 Clara Barton Blvd, Suite 340, Garland, TX 75042-5738 | 2016-05-17 |
| 1912388158 | Christina Vera | Family Medicine | 601 Clara Barton Blvd, Suite 340, Garland, TX 75042-5738 | 2015-06-13 |
| 1932588035 | Kevin Khoa Nguyen | Family Medicine | 601 Clara Barton Blvd, 340, Garland, TX 75042-5738 | 2015-05-21 |
| 1467831610 | David Metzger | Family Medicine | 601 Clara Barton Blvd, Suite 340, Garland, TX 75042-5738 | 2015-05-20 |
| 1265810691 | Mark Conrad | Family Medicine | 601 Clara Barton Blvd, Suite 340, Garland, TX 75042-5738 | 2015-05-18 |
| 1164834255 | Amol Golwala | Family Medicine | 601 Clara Barton Blvd, Suite 340, Garland, TX 75042-5738 | 2014-05-23 |
| 1528479920 | Lathmany Philachack Dorfman | Family Medicine | 601 Clara Barton Blvd, Suite 340, Garland, TX 75042-5738 | 2014-05-19 |
| 1861803769 | Zaid Sayhood | Family Medicine | 601 Clara Barton Blvd, Suite 340, Garland, TX 75042-5738 | 2014-05-13 |
| 1316388770 | Garland Vascular Partners LLC | Clinic/Center | 601 Clara Barton Blvd, Suite 1, Garland, TX 75042-5738 | 2013-07-15 |
| 1225473192 | Sophia Ouch Capili | Family Medicine | 601 Clara Barton Blvd, Suite 340, Garland, TX 75042-5738 | 2013-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| Find all providers in zip 75042 | ||||
| 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 |
|---|---|---|---|---|
| 1417367095 | Sharif Currimbhoy | Dermatology | 1614 Surrey Ct, Garland, TX 75043-1353 | 2014-05-05 |
| 1114087079 | Anne T. Tuveson | Dermatology | 3310 Broadway Blvd, Garland, TX 75043-1531 | 2006-12-11 |
| 1568845451 | Anne T. Tuveson, Md Pa | Dermatology | 3310 Broadway Blvd, Garland, TX 75043-1531 | 2015-07-09 |
| 1891009833 | Lisa A. Garner, M.d.p.a. | Dermatology | 3310 Broadway Blvd, Garland, TX 75043-1531 | 2010-08-02 |
| 1447421961 | Comprehensive Dermatology, P.a. | Dermatology | 1919 S Shiloh Rd, Suite 300, Lb42, Garland, TX 75042-8234 | 2008-03-13 |
| 1700088804 | Kevin Farzin Kia | Dermatology | 1919 S Shiloh Rd, Suite 300, Garland, TX 75042-8234 | 2007-06-01 |
| 1003035866 | Howsden Dermatology, Pa | Dermatology | 1919 S Shiloh Rd, Suite 300, Lb42, Garland, TX 75042-8234 | 2007-04-24 |
| 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 |
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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.