SKIN SURGERY INSTITUTE (OF DFW)
NPI 1063988541
Dermatology - MOHS-Micrographic Surgery in Grapevine, TX
About Skin Surgery Institute (of Dfw) NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKIN SURGERY INSTITUTE (OF DFW) (NPI 1063988541) is a healthcare organization registered as a mohs-micrographic surgery in Grapevine, Texas and active in the NPI registry since October 2018. The organization holds a CLIA Certificate of Compliance certificate valid through April 29, 2027 and lists Saira B Momin, Owner/president, as its authorized official.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Other Names 1
Group Practice 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2159884
- Facility Type
- Physician Office
- Certificate Effective Date
- April 30, 2025
- Certificate Expiration Date
- April 29, 2027
- Laboratory Director
- SAIRA B. MOMIN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Skin Surgery Institute (of Dfw) after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
GRAPEVINE, TX 76051
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063988541, enumerated as an "organization" on October 23, 2018.
The provider is located at 2020 W STATE HIGHWAY 114 STE 340 GRAPEVINE, TX 76051 and the phone number is (817) 464-5000.
Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.