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BASIN DERMATOLOGY
NPI 1063003754
Dermatology in Midland, TX

Active since January 27, 2021CLIA 45D2009142 · Waiver
4214 ANDREWS HWY STE 110, MIDLAND, TX 79703(432) 689-2491(432) 991-1158 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Basin Dermatology NPPES

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

BASIN DERMATOLOGY (NPI 1063003754) is a healthcare organization registered as a dermatology in Midland, Texas and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Candace Wynne, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1063003754
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBASIN DERMATOLOGY
Location Address4214 ANDREWS HWY STE 110Midland, TX 79703-4864
Mailing Address4214 Andrews Hwy Ste 240Midland, TX 79703-4817
Phone(432) 689-2491
Fax(432) 991-1158
Organization SubpartNo
Authorized OfficialCandace WynneCredentialing Manager · (432) 686-6605
Enumeration DateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1063003754 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.
4214 ANDREWS HWY STE 110, Midland, TX 79703
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2009142

Basin Dermatology · Midland, TX
Active · expires Aug 31, 2027
CLIA Number45D2009142
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorMichael T. Caglia
Laboratory Phone(432) 689-2491
Laboratory LocationBasin Dermatology4214 Andrews Hwy Suite # 110, Midland, TX 79703
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

NICOLE MARIE NUTTER PA-C
Physician Assistant
4214 ANDREWS HWY STE 110
MIDLAND, TX 79703
Midland County (432) 300-7271
JACQUELINE RENEE LANE
Physician Assistant
4214 ANDREWS HWY STE 110
MIDLAND, TX 79703
Midland County (432) 689-2491
SHERI L MAYO PA-C
Physician Assistant
4214 ANDREWS HWY STE 110
MIDLAND, TX 79703
Midland County (432) 689-2491
MORGAN ELIZABETH SIMS PA-C
Physician Assistant
4214 ANDREWS HWY STE 110
MIDLAND, TX 79703
Midland County (432) 689-2491

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 Basin Dermatology's NPI number?

The NPI number for Basin Dermatology is 1063003754. It was assigned to this organization in the NPPES registry on January 27, 2021.

Where is Basin Dermatology located?

Basin Dermatology is located at 4214 Andrews Hwy Ste 110, Midland, TX 79703. The listed phone number is (432) 689-2491.

What is Basin Dermatology's specialty?

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

Does Basin Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2009142) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Basin Dermatology accept?

Health plans from Blue Cross and Blue Shield of Texas list Basin Dermatology 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 Basin Dermatology was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.