ESSENTIAL DERMATOLOGY AND COSMETIC SURGERY PLLC
NPI 1962892737
Clinic/Center - Medical Specialty in Weatherford, TX

Active since January 30, 2015
1105 SANTA FE DRIVE, STE 105, WEATHERFORD, TX 76086(806) 241-4195 Get Directions Write a Review

NPPES record last updated: March 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Essential Dermatology And Cosmetic Surgery Pllc NPPES

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

ESSENTIAL DERMATOLOGY AND COSMETIC SURGERY PLLC (NPI 1962892737) is a healthcare organization registered as a medical specialty in Weatherford, Texas and active in the NPI registry since January 2015. The organization lists Dustin Van Wilkes, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1962892737
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameESSENTIAL DERMATOLOGY AND COSMETIC SURGERY PLLC
Location Address1105 SANTA FE DRIVE, STE 105Weatherford, TX 76086-5852
Mailing Address1105 Santa Fe Drive, Ste 105Weatherford, TX 76086-5852 · (806) 241-4195
Organization SubpartNo
Authorized OfficialDustin Van WilkesOwner/ceo · (806) 241-4195
Enumeration DateJanuary 30, 2015
Last NPPES UpdateMarch 28, 2015
NPI 1962892737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1105 SANTA FE DRIVE, Weatherford, TX 76086

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 Essential Dermatology And Cosmetic Surgery PLLC's NPI number?

The NPI number for Essential Dermatology And Cosmetic Surgery PLLC is 1962892737. It was assigned to this organization in the NPPES registry on January 30, 2015.

Where is Essential Dermatology And Cosmetic Surgery PLLC located?

Essential Dermatology And Cosmetic Surgery PLLC is located at 1105 Santa Fe Drive Ste 105, Weatherford, TX 76086. The listed phone number is (806) 241-4195.

What is Essential Dermatology And Cosmetic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Essential Dermatology And Cosmetic Surgery PLLC was last updated on March 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.