FRED E GHALI, MD
NPI 1487060679
Dermatology - Pediatric Dermatology in Grapevine, TX

Q: What is Pediatric Dermatology Of No. Tx's NPI number?

The NPI number for Pediatric Dermatology Of No. Tx is 1487060679. It was assigned to this organization in the NPPES registry on July 8, 2014. The provider is doing business as Fred E Ghali, MD.

Q: What is Pediatric Dermatology Of No. Tx's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Active since July 08, 2014CLIA 45D0992892 · Microscopy

1325 W NORTHWEST HWY, GRAPEVINE, TX 76051(817) 421-3376(817) 416-4269 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Fred E Ghali, Md NPPES

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

FRED E GHALI, MD (NPI 1487060679) is a healthcare organization registered as a pediatric dermatology in Grapevine, Texas and active in the NPI registry since July 2014. The organization holds a CLIA Microscopy certificate valid through October 28, 2027 and lists Fred E Ghali, Owner, as its authorized official.

NPPES Registry Identity

NPI1487060679

Entity TypeOrganization

Primary Taxonomy207NP0225X

Legal Business NamePEDIATRIC DERMATOLOGY OF NO. TX

Location Address1325 W NORTHWEST HWYGrapevine, TX 76051-3141

Mailing Address1325 W Northwest HwyGrapevine, TX 76051-3141 · (817) 421-3376 · Fax (817) 416-4269

Phone(817) 421-3376

Fax(817) 416-4269

Organization SubpartYes

Authorized OfficialFred E GhaliOwner · (817) 421-3376

Enumeration DateJuly 8, 2014

✔ NPI 1487060679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NP0225X

Definition

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

1325 W NORTHWEST HWY, Grapevine, TX 76051

Open in Google Maps ↗

Other Names 1

Doing Business AsFred E Ghali, Md

Other Identifiers 1

Other1639286339TX · Type 1 Npi

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) 45D0992892

Pediatric Dermatology Of North Texas · Grapevine, TX

Active · expires Oct 28, 2027

CLIA Number45D0992892

Laboratory TypePhysician Office

Certificate Effective DateOctober 29, 2025

Certificate Expiration DateOctober 28, 2027

Laboratory DirectorFred E. Ghali

Laboratory Phone(817) 421-3376

Laboratory LocationPediatric Dermatology Of North Texas1325 West Norhtwest Hwy, Grapevine, TX 76051

CLIA data matches this NPI record on: 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.

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.

MRS. ASHLEE DILLON CPNP

Nurse Practitioner (Pediatrics)