FORT WORTH DERMATOLOGY CENTER, PLLC
NPI 1245687987
Dermatology in Fort Worth, TX

Active since May 23, 2016CLIA 45D2118176 · Microscopy
6900 HARRIS PKWY, SUITE 200, FORT WORTH, TX 76132(956) 740-8650 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Worth Dermatology Center, Pllc NPPES

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

FORT WORTH DERMATOLOGY CENTER, PLLC (NPI 1245687987) is a healthcare organization registered as a dermatology in Fort Worth, Texas and active in the NPI registry since May 2016. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Bryan Jerry Carroll, Physician, Partner, as its authorized official.

NPPES Registry Identity

NPI1245687987
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFORT WORTH DERMATOLOGY CENTER, PLLC
Location Address6900 HARRIS PKWY, SUITE 200Fort Worth, TX 76132-4255
Mailing Address6900 Harris Pkwy, Suite 200Fort Worth, TX 76132-4255
Organization SubpartNo
Authorized OfficialBryan Jerry CarrollPhysician, Partner · (956) 740-8650
Enumeration DateMay 23, 2016
NPI 1245687987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TX · Q6500
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.
6900 HARRIS PKWY, Fort Worth, TX 76132

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

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 for Provider-Performed Microscopy Procedures (PPMP) 45D2118176

Fort Worth Dermatology Center, PLLC · Fort Worth, TX
Active · expires Aug 31, 2026
CLIA Number45D2118176
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRoselynn H. Nguyen
Laboratory Phone(817) 292-3376
Laboratory LocationFort Worth Dermatology Center, PLLC6900 Harris Parkway, Suite 200, Fort Worth, TX 76132
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

Dermatology
6900 HARRIS PKWY, SUITE 200
FORT WORTH, TX 76132
Radiology (Diagnostic Radiology)
6900 HARRIS PKWY
FORT WORTH, TX 76132
Anesthesiology (Pain Medicine)
6900 HARRIS PKWY, SUITE 300
FORT WORTH, TX 76132
Specialist
6900 HARRIS PKWY, #310
FORT WORTH, TX 76132

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 Fort Worth Dermatology Center, PLLC's NPI number?

The NPI number for Fort Worth Dermatology Center, PLLC is 1245687987. It was assigned to this organization in the NPPES registry on May 23, 2016.

Where is Fort Worth Dermatology Center, PLLC located?

Fort Worth Dermatology Center, PLLC is located at 6900 Harris Pkwy Suite 200, Fort Worth, TX 76132. The listed phone number is (956) 740-8650.

What is Fort Worth Dermatology Center, PLLC's specialty?

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

Does Fort Worth Dermatology Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2118176) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Worth Dermatology Center, PLLC was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.