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KEY DERMATOLOGY PLLC
NPI 1629565544
Dermatology in Fort Worth, TX

Active since April 16, 2018CLIA 45D2152640 · Microscopy
4949 GOLDEN TRIANGLE BLVD STE 611, FORT WORTH, TX 76244(817) 898-2188(817) 439-6055 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2021, Nov 19, 2018, Aug 8, 2018 and 2 more (5 updates tracked since 2018).

About Key Dermatology Pllc NPPES

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

KEY DERMATOLOGY PLLC (NPI 1629565544) is a healthcare organization registered as a dermatology in Fort Worth, Texas and active in the NPI registry since April 2018. The organization holds a CLIA Microscopy certificate valid through August 13, 2026 and lists Julie Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1629565544
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKEY DERMATOLOGY PLLC
Location Address4949 GOLDEN TRIANGLE BLVD STE 611Fort Worth, TX 76244-4456
Mailing AddressPo Box 92424Southlake, TX 76092-0104
Phone(817) 898-2188
Fax(817) 439-6055
Organization SubpartNo
Authorized OfficialJulie NguyenOwner · (817) 898-2188
Enumeration DateApril 16, 2018
Last NPPES UpdateAugust 26, 20245 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1629565544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · P8959
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.
4949 GOLDEN TRIANGLE BLVD STE 611, Fort Worth, TX 76244
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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) 45D2152640

Key Dermatology PLLC · Fort Worth, TX
Active · expires Aug 13, 2026
CLIA Number45D2152640
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorJulie Nguyen
Laboratory Phone(817) 898-2188
Laboratory LocationKey Dermatology PLLC4949 Golden Triangle Blvd Suite 611, Fort Worth, TX 76244
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.

Other Providers at the Same Location NPPES 3

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

SAYEEDA AHSANUDDIN MD
Dermatology
4949 GOLDEN TRIANGLE BLVD STE 611
FORT WORTH, TX 76244
Tarrant County (817) 898-2188
CAROLINE ZHU
Dermatology
4949 GOLDEN TRIANGLE BLVD STE 611
FORT WORTH, TX 76244
Tarrant County (817) 898-2188
JULIE NGUYEN MD
Dermatology
4949 GOLDEN TRIANGLE BLVD STE 611
FORT WORTH, TX 76244
Tarrant County (817) 898-2188

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 Key Dermatology PLLC's NPI number?

The NPI number for Key Dermatology PLLC is 1629565544. It was assigned to this organization in the NPPES registry on April 16, 2018.

Where is Key Dermatology PLLC located?

Key Dermatology PLLC is located at 4949 Golden Triangle Blvd Ste 611, Fort Worth, TX 76244. The listed phone number is (817) 898-2188.

What is Key Dermatology PLLC's specialty?

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

Does Key Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2152640) is associated with this NPI, valid through August 13, 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 Key Dermatology PLLC was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.