Prism Dermatology, Pllc

LBN: Prism Dermatology, Pllc
Prism Dermatology, Pllc is an health care organization with primary practice located at 925 E Southlake Blvd Ste 200 , Southlake TX 76092-1476. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Prism Dermatology, Pllc can be contacted via phone (940) 393-9582, or through Gaman, Walter via phone (972) 258-7499.

Contact Information

Primary practice address
925 E Southlake Blvd Ste 200 Southlake TX 76092-1476
Phone: (940) 393-9582
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gaman, Walter Doctor of Medicine (MD)
Phone: (972) 258-7499

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1043795743
LBN Legal business name Prism Dermatology, Pllc
DBA Doing business as
Authorized official Gaman, Walter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2018
Last updated Sep 27th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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