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PALO DURO DERMATOLOGY, PLLC
NPI 1699120048
Dermatology in Canyon, TX

Active since May 03, 2016CLIA 45D2117683 · Microscopy
2005 N 2ND AVE STE D, CANYON, TX 79015(806) 553-0185(806) 853-6630 Get Directions Write a Review

NPPES record last updated: October 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Palo Duro Dermatology, Pllc NPPES

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

PALO DURO DERMATOLOGY, PLLC (NPI 1699120048) is a healthcare organization registered as a dermatology in Canyon, Texas and active in the NPI registry since May 2016. The organization holds a CLIA Microscopy certificate valid through August 21, 2026 and lists Larry C Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1699120048
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePALO DURO DERMATOLOGY, PLLC
Location Address2005 N 2ND AVE STE DCanyon, TX 79015-2545
Mailing AddressPo Box 1638Canyon, TX 79015-1638 · (806) 488-2176
Phone(806) 553-0185
Fax(806) 853-6630
Organization SubpartNo
Authorized OfficialLarry C RobertsOwner · (806) 553-0185
Enumeration DateMay 3, 2016
Last NPPES UpdateOctober 2, 2016
✔ NPI 1699120048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2005 N 2ND AVE STE D, Canyon, TX 79015
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Other Identifiers 1

Other45D2117683TX · Clia

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) 45D2117683

Palo Duro Dermatology,pllc · Canyon, TX
Active · expires Aug 21, 2026
CLIA Number45D2117683
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorLarry C. Roberts
Laboratory Phone(806) 674-9401
Laboratory LocationPalo Duro Dermatology,pllc2005 N 2nd Ave, Suite D, Canyon, TX 79015
CLIA data matches this NPI record on: Address Name
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

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

LARRY C ROBERTS MD
Dermatology (Dermatopathology)
2005 N 2ND AVE STE D
CANYON, TX 79015
Randall County (806) 510-3376

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 Palo Duro Dermatology, PLLC's NPI number?

The NPI number for Palo Duro Dermatology, PLLC is 1699120048. It was assigned to this organization in the NPPES registry on May 3, 2016.

Where is Palo Duro Dermatology, PLLC located?

Palo Duro Dermatology, PLLC is located at 2005 N 2nd Ave Ste D, Canyon, TX 79015. The listed phone number is (806) 553-0185.

What is Palo Duro Dermatology, PLLC's specialty?

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

Does Palo Duro Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2117683) is associated with this NPI, valid through August 21, 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 Palo Duro Dermatology, PLLC was last updated on October 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.