Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ribbon Dermatology PLLC

Organization Dermatology Physician · NPI 1962219535

Blue Ribbon Dermatology PLLC is a Dermatology Physician in Allen, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1150 N Watters Rd Ste 105
Allen, TX 75013-5536
Phone: (469) 331-3242
Fax: (469) 331-3243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1962219535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nader Aboul-Fettouh — Physician · (469) 331-3242
NPI enumeratedDecember 16, 2024
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address1150 N Watters Rd Ste 105, Allen, TX 75013-5536

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