CONCIERGE DERMATOLOGY MANAGEMENT, LLC
NPI 1134615206
Dermatology in Fort Worth, TX

Q: What is Concierge Dermatology Management, LLC's specialty?

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

Active since July 02, 2018CLIA Certified · 2 labs

7100 OAKMONT BLVD STE 101, FORT WORTH, TX 76132(817) 205-3075(817) 641-3355 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Concierge Dermatology Management, Llc NPPES

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

CONCIERGE DERMATOLOGY MANAGEMENT, LLC (NPI 1134615206) is a healthcare organization registered as a dermatology in Fort Worth, Texas and active in the NPI registry since July 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Cleburne, and lists Brittany Pope, Manager, as its authorized official.

NPPES Registry Identity

NPI1134615206

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameCONCIERGE DERMATOLOGY MANAGEMENT, LLC

Location Address7100 OAKMONT BLVD STE 101Fort Worth, TX 76132-3908

Mailing Address7100 Oakmont Blvd Ste 101Fort Worth, TX 76132-3908 · (817) 205-3075

Phone(817) 205-3075

Fax(817) 641-3355

Organization SubpartNo

Authorized OfficialBrittany PopeManager · (817) 781-3550

Enumeration DateJuly 2, 2018

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedOctober 24, 2025

✔ NPI 1134615206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in TX · K0518

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.

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License K0518 (TX)

7100 OAKMONT BLVD STE 101, Fort Worth, TX 76132

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Secondary Practice Location 1

Location 1405 N Ridgeway Dr Ste GCleburne, TX 76033-5130 · Phone (817) 205-3075

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 45D2261384

Concierge Dermatology · Fort Worth, TX

Active · expires May 14, 2028

CLIA Number45D2261384

Laboratory TypePhysician Office

Certificate Effective DateMay 15, 2026

Certificate Expiration DateMay 14, 2028

Laboratory DirectorPeter J. Malouf

Laboratory Phone(817) 205-3075

Laboratory LocationConcierge Dermatology7100 Oakmont Blvd Suite 101, Fort Worth, TX 76132

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 45D2156583

Concierge Dermatology · Cleburne, TX

Active · expires Nov 26, 2027

CLIA Number45D2156583

Laboratory TypePhysician Office

Certificate Effective DateNovember 27, 2025

Certificate Expiration DateNovember 26, 2027

Laboratory DirectorPeter J. Malouf

Laboratory Phone(817) 205-3075

Laboratory LocationConcierge Dermatology405 N Ridgeway Drive Suite G, Cleburne, TX 76033

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

PETER J MALOUF D.O.

Dermatology