MEDICAL & SURGICAL DERMATOLOGY CENTER OF NORTHEAST TEXAS, P.A.
NPI 1255436135
Dermatology in Mt Pleasant, TX

Active since September 14, 2006CLIA 45D0918081 · Certificate of Compliance
108 PLEASANT ST, MT PLEASANT, TX 75455(903) 577-8878(903) 577-8936 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, Dec 29, 2021 (2 updates tracked since 2021).

About Medical & Surgical Dermatology Center Of Northeast Texas, P.a. NPPES

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

MEDICAL & SURGICAL DERMATOLOGY CENTER OF NORTHEAST TEXAS, P.A. (NPI 1255436135) is a healthcare organization registered as a dermatology in Mt Pleasant, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 5, 2027 and lists Anthony V Greco, Owner, as its authorized official.

NPPES Registry Identity

NPI1255436135
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMEDICAL & SURGICAL DERMATOLOGY CENTER OF NORTHEAST TEXAS, P.A.
Location Address108 PLEASANT STMt Pleasant, TX 75455-5322
Mailing Address108 Pleasant StMt Pleasant, TX 75455-5322 · (903) 577-8878 · Fax (903) 577-8936
Fax(903) 577-8936
Organization SubpartNo
Authorized OfficialAnthony V GrecoOwner · (903) 577-8878
Enumeration DateSeptember 14, 2006
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1255436135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TX · J9067
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.
108 PLEASANT ST, Mt Pleasant, TX 75455

Other Identifiers 2

Medicaid081422001TX
Other45ERTX · Bcbs Group

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 of Compliance 45D0918081

Medical And Surgical Dermatology Cntr Of North East Texas PA · Mount Pleasant, TX
Active · expires Mar 5, 2027
CLIA Number45D0918081
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorAnthony V. Greco
Laboratory Phone(903) 577-8878
Laboratory LocationMedical And Surgical Dermatology Cntr Of North East Texas PA108 West Pleasant Street, Mount Pleasant, TX 75455
CLIA data matches this NPI record on: 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

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

Dermatology (MOHS-Micrographic Surgery)
108 PLEASANT ST
MOUNT PLEASANT, TX 75455

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 Medical & Surgical Dermatology Center Of Northeast Texas, P.A.'s NPI number?

The NPI number for Medical & Surgical Dermatology Center Of Northeast Texas, P.A. is 1255436135. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Medical & Surgical Dermatology Center Of Northeast Texas, P.A. located?

Medical & Surgical Dermatology Center Of Northeast Texas, P.A. is located at 108 Pleasant St, Mt Pleasant, TX 75455. The listed phone number is (903) 577-8878.

What is Medical & Surgical Dermatology Center Of Northeast Texas, P.A.'s specialty?

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

Does Medical & Surgical Dermatology Center Of Northeast Texas, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0918081) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical & Surgical Dermatology Center Of Northeast Texas, P.A. was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.