WYRICK DERMATOLOGY ASSOCIATION
NPI 1619977295
Clinic/Center in Texarkana, TX

Q: What is Wyrick Dermatology Association's NPI number?

The NPI number for Wyrick Dermatology Association is 1619977295. It was assigned to this organization in the NPPES registry on July 26, 2005.

Q: What is Wyrick Dermatology Association's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since July 26, 2005CLIA 45D0482485 · Microscopy

3333 POTOMAC AVE, TEXARKANA, TX 75503(903) 792-3787(903) 792-0446 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wyrick Dermatology Association NPPES

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

WYRICK DERMATOLOGY ASSOCIATION (NPI 1619977295) is a healthcare organization registered as a clinic/center in Texarkana, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Scott W Wyrick, President, as its authorized official.

NPPES Registry Identity

NPI1619977295

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameWYRICK DERMATOLOGY ASSOCIATION

Location Address3333 POTOMAC AVETexarkana, TX 75503-3513

Mailing Address3333 Potomac AveTexarkana, TX 75503-3513 · (903) 792-3787 · Fax (903) 792-0446

Phone(903) 792-3787

Fax(903) 792-0446

Organization SubpartNo

Authorized OfficialScott W WyrickPresident · (903) 792-3787

Enumeration DateJuly 26, 2005

Last NPPES UpdateApril 9, 2013

✔ NPI 1619977295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3333 POTOMAC AVE, Texarkana, TX 75503

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Other Identifiers 3

Medicare ID-Type Unspecified00360NTX · Provider Identification

Medicaid109371802TX

Medicaid145002002AR

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 ›

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) 45D0482485

Wyrick Dermatology Assn · Texarkana, TX

Active · expires Aug 31, 2026

CLIA Number45D0482485

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorWalter Wyrick Jr MD

Laboratory Phone(903) 792-3787

Laboratory LocationWyrick Dermatology Assn3333 Potomac Avenue, Texarkana, TX 75503

CLIA data matches this NPI record on: Address 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 2

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

SCOTT W WYRICK M.D.

Family Medicine

3333 POTOMAC AVE
TEXARKANA, TX 75503

Bowie County (903) 792-3787

LENORE P WYRICK RN, FNP

Nurse Practitioner (Family)

3333 POTOMAC AVE
TEXARKANA, TX 75503

Bowie County (903) 792-3787

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 Wyrick Dermatology Association's NPI number?

The NPI number for Wyrick Dermatology Association is 1619977295. It was assigned to this organization in the NPPES registry on July 26, 2005.

Where is Wyrick Dermatology Association located?

Wyrick Dermatology Association is located at 3333 Potomac Ave, Texarkana, TX 75503. The listed phone number is (903) 792-3787.

What is Wyrick Dermatology Association's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Wyrick Dermatology Association hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0482485) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wyrick Dermatology Association accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Wyrick Dermatology Association 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 Wyrick Dermatology Association was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.