PRISM DERMATOLOGY, PLLC
NPI 1043795743
Dermatology in Southlake, TX

Active since September 27, 2018
925 E SOUTHLAKE BLVD STE 200, SOUTHLAKE, TX 76092(940) 393-9582 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prism Dermatology, Pllc NPPES

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

PRISM DERMATOLOGY, PLLC (NPI 1043795743) is a healthcare organization registered as a dermatology in Southlake, Texas and active in the NPI registry since September 2018. The organization lists Walter Gaman, President, as its authorized official.

NPPES Registry Identity

NPI1043795743
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePRISM DERMATOLOGY, PLLC
Location Address925 E SOUTHLAKE BLVD STE 200Southlake, TX 76092-1476
Mailing Address925 E Southlake Blvd Ste 200Southlake, TX 76092-1476 · (940) 393-9582
Organization SubpartNo
Authorized OfficialWalter GamanPresident · (972) 258-7499
Enumeration DateSeptember 27, 2018
NPI 1043795743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
925 E SOUTHLAKE BLVD STE 200, Southlake, TX 76092

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
925 E SOUTHLAKE BLVD STE 200
SOUTHLAKE, TX 76092
Optometrist
925 E SOUTHLAKE BLVD STE 200
SOUTHLAKE, TX 76092
Ophthalmology
925 E SOUTHLAKE BLVD STE 200
SOUTHLAKE, TX 76092

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 Prism Dermatology, PLLC's NPI number?

The NPI number for Prism Dermatology, PLLC is 1043795743. It was assigned to this organization in the NPPES registry on September 27, 2018.

Where is Prism Dermatology, PLLC located?

Prism Dermatology, PLLC is located at 925 E Southlake Blvd Ste 200, Southlake, TX 76092. The listed phone number is (940) 393-9582.

What is Prism Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

What insurance does Prism Dermatology, PLLC accept?

Health plans from WellPoint list Prism Dermatology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prism Dermatology, PLLC was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.