NPI 1760194443 · live from the CMS NPI Registry
All Skin Dermatology, PLLC
Dermatology, Procedural Dermatology in Wichita Falls, TX. National Provider Identifier 1760194443, active.
NPI record
| NPI | 1760194443 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, Procedural Dermatology 207NS0135X |
| Practice location | 2637 Plaza Pkwy, Wichita Falls, TX 76308 |
| Practice phone | 940-239-9160 |
| Enumerated | December 14, 2022 |
| Last updated | April 10, 2023 |
| Authorized official | Grace Ayandibu, Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — |
| Dermatology, Procedural Dermatology primary | 207NS0135X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.