PHOTODERMIC, INC.
NPI 1003823618
Specialist in Abilene, TX

Active since August 03, 2006
3110 N 1ST ST, ABILENE, TX 79603(325) 672-4685(325) 672-4693 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Photodermic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOTODERMIC, INC. (NPI 1003823618) is a healthcare organization registered as a specialist in Abilene, Texas and active in the NPI registry since August 2006. The organization lists Ladonna Pharris, Owner, as its authorized official.

NPPES Registry Identity

NPI1003823618
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePHOTODERMIC, INC.
Location Address3110 N 1ST STAbilene, TX 79603-7004
Mailing AddressPo Box 3784Abilene, TX 79604-3784 · (325) 672-4685 · Fax (325) 672-4693
Fax(325) 672-4693
Organization SubpartNo
Authorized OfficialLadonna PharrisOwner · (325) 672-4685
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1003823618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
3110 N 1ST ST, Abilene, TX 79603

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Photodermic, Inc.'s NPI number?

The NPI number for Photodermic, Inc. is 1003823618. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Photodermic, Inc. located?

Photodermic, Inc. is located at 3110 N 1st St, Abilene, TX 79603. The listed phone number is (325) 672-4685.

What is Photodermic, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Photodermic, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.