NPI 1053029348 · live from the CMS NPI Registry
Bare Derm Group INC
Dermatology in Dallas, TX. National Provider Identifier 1053029348, active.
NPI record
| NPI | 1053029348 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2110 Research Row Ste 310, Dallas, TX 75235 |
| Practice phone | 972-797-9297 |
| Mailing address | 1005 W Ralph Hall Pkwy Ste 207, Rockwall, TX 75032 |
| Enumerated | November 7, 2022 |
| Last updated | September 11, 2024 |
| Authorized official | Christopher Halpin, Ceo |
| Other names | Bare Dermatology |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — |
| Dermatology, Dermatopathology | 207ND0900X | — |
| Plastic Surgery | 208200000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.