1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Dermatology
  6. NPI Profile

PRESTIGE DERMATOLOGY OF ALLIANCE, PLLC
NPI 1427415314
Dermatology in Fort Worth, TX

Active since January 22, 2016
3629 WESTERN CENTER BLVD, SUITE 201, FORT WORTH, TX 76137(817) 766-7421 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, Jul 28, 2020, Feb 9, 2020 and 1 more (4 updates tracked since 2016).

About Prestige Dermatology Of Alliance, Pllc NPPES

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

PRESTIGE DERMATOLOGY OF ALLIANCE, PLLC (NPI 1427415314) is a healthcare organization registered as a dermatology in Fort Worth, Texas and active in the NPI registry since January 2016. The organization lists Ryan Pham, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1427415314
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePRESTIGE DERMATOLOGY OF ALLIANCE, PLLC
Location Address3629 WESTERN CENTER BLVD, SUITE 201Fort Worth, TX 76137-1939
Mailing Address3629 Western Center Blvd Ste 211Fort Worth, TX 76137-1940 · (817) 766-7422
Phone(817) 766-7421
Organization SubpartNo
Authorized OfficialRyan PhamManaging Member · (817) 766-7421
Enumeration DateJanuary 22, 2016
Last NPPES UpdateJanuary 21, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
✔ NPI 1427415314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
3629 WESTERN CENTER BLVD, Fort Worth, TX 76137
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

KETKI MANOHAR RANA PT
Physical Therapist
3629 WESTERN CENTER BLVD, STE.221
FORT WORTH, TX 76137
Tarrant County (817) 566-6793
JASON M MCCOY LCSW
Social Worker (Clinical)
3629 WESTERN CENTER BLVD, STE. 211
FORT WORTH, TX 76137
Tarrant County (817) 232-9400
CHRISTINA CATHERINE JONES
Counselor (Professional)
3629 WESTERN CENTER BLVD
FORT WORTH, TX 76137
Tarrant County (817) 232-9400
CRAIG FREYER, M.D.
General Practice
3629 WESTERN CENTER BLVD, SUITE 201
FORT WORTH, TX 76137
Tarrant County (817) 232-9870
CRAIG ALAN FREYER MD
Family Medicine
3629 WESTERN CENTER BLVD, 201
FORT WORTH, TX 76137
Tarrant County (817) 232-9870

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 Prestige Dermatology Of Alliance, PLLC's NPI number?

The NPI number for Prestige Dermatology Of Alliance, PLLC is 1427415314. It was assigned to this organization in the NPPES registry on January 22, 2016.

Where is Prestige Dermatology Of Alliance, PLLC located?

Prestige Dermatology Of Alliance, PLLC is located at 3629 Western Center Blvd Suite 201, Fort Worth, TX 76137. The listed phone number is (817) 766-7421.

What is Prestige Dermatology Of Alliance, PLLC's specialty?

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

What insurance does Prestige Dermatology Of Alliance, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Prestige Dermatology Of Alliance, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prestige Dermatology Of Alliance, PLLC was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.