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DERMATOLOGY SPECIALISTS OF FORT WORTH PLLC
NPI 1417434119
Dermatology in Benbrook, TX

Active since July 25, 2018CLIA 45D2168748 · Microscopy
6131 SOUTHWEST BLVD STE 100, BENBROOK, TX 76132(817) 989-1221 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2023, Jul 25, 2018 (2 updates tracked since 2018).

About Dermatology Specialists Of Fort Worth Pllc NPPES

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

DERMATOLOGY SPECIALISTS OF FORT WORTH PLLC (NPI 1417434119) is a healthcare organization registered as a dermatology in Benbrook, Texas and active in the NPI registry since July 2018. The organization holds a CLIA Microscopy certificate valid through July 8, 2027 and lists Catherine Harrell, Md/president, as its authorized official.

NPPES Registry Identity

NPI1417434119
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPECIALISTS OF FORT WORTH PLLC
Location Address6131 SOUTHWEST BLVD STE 100Benbrook, TX 76132-1047
Mailing Address6131 Southwest Blvd Ste 100Benbrook, TX 76132-1047 · (817) 989-1221
Phone(817) 989-1221
Organization SubpartNo
Authorized OfficialCatherine HarrellMd/president · (713) 498-3974
Enumeration DateJuly 25, 2018
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1417434119 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.
6131 SOUTHWEST BLVD STE 100, Benbrook, TX 76132
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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) 45D2168748

Dermatology Specialists Of Fort Worth, PLLC · Benbrook, TX
Active · expires Jul 8, 2027
CLIA Number45D2168748
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorCatherine E. Harrell
Laboratory Phone(817) 989-1221
Laboratory LocationDermatology Specialists Of Fort Worth, PLLC6131 Southwest Blvd Suite 100, Benbrook, TX 76132
CLIA data matches this NPI record on: Address Name Phone
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.

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 Dermatology Specialists Of Fort Worth PLLC's NPI number?

The NPI number for Dermatology Specialists Of Fort Worth PLLC is 1417434119. It was assigned to this organization in the NPPES registry on July 25, 2018.

Where is Dermatology Specialists Of Fort Worth PLLC located?

Dermatology Specialists Of Fort Worth PLLC is located at 6131 Southwest Blvd Ste 100, Benbrook, TX 76132. The listed phone number is (817) 989-1221.

What is Dermatology Specialists Of Fort Worth PLLC's specialty?

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

Does Dermatology Specialists Of Fort Worth PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2168748) is associated with this NPI, valid through July 8, 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 Dermatology Specialists Of Fort Worth PLLC was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.