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BLACKBURN WOOLFOLK DERMATOLOGY, PLLC
NPI 1447619291
Dermatology in Irving, TX

Active since February 22, 2016CLIA 45D2154894 · Waiver
4520 N MACARTHUR BLVD STE 100, IRVING, TX 75038(214) 630-5256(214) 630-2251 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2025, Dec 2, 2022, Feb 22, 2016 (3 updates tracked since 2016).

About Blackburn Woolfolk Dermatology, Pllc NPPES

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

BLACKBURN WOOLFOLK DERMATOLOGY, PLLC (NPI 1447619291) is a healthcare organization registered as a dermatology in Irving, Texas and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Daneeque Woolfolk, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1447619291
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLACKBURN WOOLFOLK DERMATOLOGY, PLLC
Location Address4520 N MACARTHUR BLVD STE 100Irving, TX 75038-1235
Mailing Address4520 N Macarthur Blvd Ste 100Irving, TX 75038-1235 · (214) 630-5256 · Fax (214) 630-2251
Phone(214) 630-5256
Fax(214) 630-2251
Organization SubpartNo
Authorized OfficialDaneeque WoolfolkManaging Member · (214) 630-5256
Enumeration DateFebruary 22, 2016
Last NPPES UpdateApril 17, 20253 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1447619291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · Q3314
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.
4520 N MACARTHUR BLVD STE 100, Irving, TX 75038
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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 of Waiver 45D2154894

Blackburn Woolfolk Dermatology · Irving, TX
Active · expires Sep 19, 2026
CLIA Number45D2154894
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorDaneeque J. Woolfolk
Laboratory Phone(214) 630-5256
Laboratory LocationBlackburn Woolfolk Dermatology4520 N Macarthur Blvd Suite 100, Irving, TX 75038
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

DR. DANEEQUE J WOOLFOLK M.D.
Dermatology
4520 N MACARTHUR BLVD STE 100
IRVING, TX 75038
Dallas County (214) 630-5256
ATHENA KARIN CRAVEN P.A
Physician Assistant
4520 N MACARTHUR BLVD STE 100
IRVING, TX 75038
Dallas County (214) 630-5256
MS. JAMIL WATERS MPAS, PA-C
Physician Assistant
4520 N MACARTHUR BLVD STE 100
IRVING, TX 75038
Dallas County (214) 630-5256
ERIN RUSSELL PA-C
Physician Assistant
4520 N MACARTHUR BLVD STE 100
IRVING, TX 75038
Dallas County (214) 630-5256

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 Blackburn Woolfolk Dermatology, PLLC's NPI number?

The NPI number for Blackburn Woolfolk Dermatology, PLLC is 1447619291. It was assigned to this organization in the NPPES registry on February 22, 2016.

Where is Blackburn Woolfolk Dermatology, PLLC located?

Blackburn Woolfolk Dermatology, PLLC is located at 4520 N Macarthur Blvd Ste 100, Irving, TX 75038. The listed phone number is (214) 630-5256.

What is Blackburn Woolfolk Dermatology, PLLC's specialty?

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

Does Blackburn Woolfolk Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2154894) is associated with this NPI, valid through September 19, 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 Blackburn Woolfolk Dermatology, PLLC was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.