TEXAS DERMATOLOGY ASSOCIATES PA (NPI# 1720207392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720207392 |
| Entity Type | Organization |
| Organization Name | TEXAS DERMATOLOGY ASSOCIATES PA |
| Practice Address |
3900 Junius St Suite 245 Dallas TX 75246-1615 |
| Practice Telephone | 9723867546 |
| Practice Fax Number | 9727018008 |
| Mailing Telephone | 9723867546 |
| Mailing Fax Number | 9727018008 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | DR. MARTIN ALAN MENTER (PRESIDENT) |
| Authorized Official Telephone | 9723867546 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | E5411 | TX | Other Service Providers |
| Street Address |
3900 JUNIUS ST SUITE 245 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300022 | John C Obrien Jr. | Surgery | 3900 Junius St, Suite 145, Dallas, TX 75246-1615 | 2005-07-20 |
| 1538548177 | North Star Mcd, LLC | Clinic/Center | 3900 Junius St, Suite 705, Dallas, TX 75246-1615 | 2015-05-28 |
| 1245618966 | Grant Sun | Student in an Organized Health Care Education/Training Program | 3900 Junius St, Dallas, TX 75246-1615 | 2015-05-14 |
| 1275932451 | Jennifer Elkins | Physician Assistant | 3900 Junius St, Suite 500, Dallas, TX 75246-1615 | 2014-08-14 |
| 1639501596 | Mitesh Jagdish Patel | Physician Assistant | 3900 Junius St, Suite 605, Dallas, TX 75246-1615 | 2013-08-02 |
| 1982042305 | Btdi Jv LLP | Physiological Laboratory | 3900 Junius St, Ste 100, Dallas, TX 75246-1615 | 2013-06-07 |
| 1891036588 | Baylor University Medical Center | Clinic/Center | 3900 Junius St, Suite 100, Dallas, TX 75246-1615 | 2013-03-06 |
| 1689931677 | Ashton Brooke Want | Physician Assistant | 3900 Junius St, Suite 500, Dallas, TX 75246-1615 | 2012-04-16 |
| 1851666861 | Healthtexas Provider Network | Durable Medical Equipment & Medical Supplies | 3900 Junius St, Suite 500, Dallas, TX 75246-1615 | 2012-03-09 |
| 1487937850 | Eastside Kidney Consultants, Pllc | Internal Medicine | 3900 Junius St, Suite 615, Dallas, TX 75246-1615 | 2011-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172827 | Tina Mone Patterson | Specialist | 8501 Old Hickory Trl Apt 2106, Dallas, TX 75237-3821 | 2019-12-31 |
| 1225670862 | Camerin J Cole | Specialist | 4701 Haverwood Ln Apt 112, Dallas, TX 75287-4206 | 2019-10-15 |
| 1356833198 | Diana Denise Demasi | Specialist | 4411 Lemmon Ave Ste 102, Dallas, TX 75219-2390 | 2018-06-06 |
| 1942718242 | Kristy Prieto | Specialist | 18809 Lina St Apt 10209, Dallas, TX 75287-2519 | 2018-01-21 |
| 1306354600 | Johnneshia Donald | Specialist | 3702 Frankford Rd Apt 12303, Dallas, TX 75287-7808 | 2018-01-21 |
| 1841740404 | Surgical Associates of Dallas | Specialist | 621 N Hall St Ste 520, Dallas, TX 75226-1315 | 2016-10-07 |
| 1194198101 | Surepoint Emergency Physicians Denton, Pllc | Specialist | 5005 Lbj Fwy, Suite 1200, Dallas, TX 75244 | 2015-11-12 |
| 1316329071 | Southern Spine Institute Pllc | Specialist | 11970 N Central Expy Ste 450, Dallas, TX 75243-3787 | 2015-06-18 |
| 1760886345 | Wls Surgical Associates of North Texas Pllc | Specialist | 7777 Forest Ln Ste C400, Dallas, TX 75230-7516 | 2014-10-10 |
| 1952731804 | Aw Sleep Diagnostic Center Inc | Specialist | 13154 Coit Road, Suite 105, Dallas, TX 75240-5787 | 2013-11-13 |
| Find all providers in DALLAS | ||||
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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.