ALL SKIN DERMATOLOGY, PLLC – NPI #1760194443
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

ALL SKIN DERMATOLOGY, PLLC is a dermatologist located in WICHITA FALLS, TX. NPPES has assigned the NPI number 1760194443 to ALL SKIN DERMATOLOGY, PLLC on December 14, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 3 years ago on Apr 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALL SKIN DERMATOLOGY, PLLC below.

NPI Profile for
ALL SKIN DERMATOLOGY, PLLC

NPI Number
1760194443
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALL SKIN DERMATOLOGY, PLLC
Primary location
2637 PLAZA PKWY
WICHITA FALLS, TX 76308-3889
Phone: (940) 239-9160 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GRACE AYANDIBU
MEDICAL DIRECTOR
Phone: (940) 239-9160
Updated
Certification Date
Apr 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NS0135X
- Dermatology / Procedural Dermatology (Primary)
207ND0101X
- Dermatology / MOHS-Micrographic Surgery
207N00000X
- Dermatology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.