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NORTHEAST TARRANT DERMATOLOGY, INC
NPI 1235357666
Dermatology in Hurst, TX

Active since April 23, 2007
1733 PRECINCT LINE RD, HURST, TX 76054(817) 281-7546(817) 788-0115 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northeast Tarrant Dermatology, Inc NPPES

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

NORTHEAST TARRANT DERMATOLOGY, INC (NPI 1235357666) is a healthcare organization registered as a dermatology in Hurst, Texas and active in the NPI registry since April 2007. The organization lists Tho Q Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1235357666
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTHEAST TARRANT DERMATOLOGY, INC
Location Address1733 PRECINCT LINE RDHurst, TX 76054-3131
Mailing Address1733 Precinct Line RoadHurst, TX 76054-3131 · (817) 281-7546 · Fax (817) 788-0115
Phone(817) 281-7546
Fax(817) 788-0115
Organization SubpartNo
Authorized OfficialTho Q NguyenOwner · (817) 281-7546
Enumeration DateApril 23, 2007
Last NPPES UpdateJanuary 11, 2013
✔ NPI 1235357666 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.
1733 PRECINCT LINE RD, Hurst, TX 76054
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Other Identifiers 2

Medicare UPINF18814
Medicare ID-Type Unspecified00403T

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Tarrant Dermatology, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Northeast Tarrant Dermatology, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Douglas Farris, M.D.
Dermatology
NPI 1073593745
1733 PRECINCT LINE RD
Hurst, TX 76054
(817) 281-7546
✔ PECOS✔ Accepts MedicareSame address
Tho Nguyen, M.D.
Dermatology
NPI 1861462020
1733 PRECINCT LINE RD
Hurst, TX 76054
(817) 281-7546
✔ PECOS✔ Accepts MedicareSame address
Alice Wuu, MD
Dermatology
NPI 1245557347
6600 BRYANT IRVIN RD
Ft Worth, TX 76132
(817) 820-0011
✔ PECOS✔ Accepts Medicare19 mi
Stacy Beaty, MD
Dermatology
NPI 1669499638
1755 S GRAND
St Louis, MO 63104
(314) 256-3433
✔ PECOS✔ Accepts Medicare557 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northeast Tarrant Dermatology, Inc's NPI number?

The NPI number for Northeast Tarrant Dermatology, Inc is 1235357666. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Northeast Tarrant Dermatology, Inc located?

Northeast Tarrant Dermatology, Inc is located at 1733 Precinct Line Rd, Hurst, TX 76054. The listed phone number is (817) 281-7546.

What is Northeast Tarrant Dermatology, Inc's specialty?

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

Is Northeast Tarrant Dermatology, Inc enrolled in Medicare?

Yes. Northeast Tarrant Dermatology, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Tarrant Dermatology, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Northeast Tarrant Dermatology, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Tarrant Dermatology, Inc was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.