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

Dermasurgery Specialist, PLLC

Organization MOHS-Micrographic Surgery Physician · NPI 1063988541

Dermasurgery Specialist, PLLC is an MOHS-Micrographic Surgery Physician in Grapevine, Texas. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2020 W State Highway 114 Ste 340
Grapevine, TX 76051-8650
Phone: (817) 464-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1063988541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Saira Momin — Owner/President · (817) 464-5000
Other names Skin Surgery Institute (Of Dfw)
NPI enumeratedOctober 23, 2018
Last updated in NPPESNovember 4, 2018
Mailing address2728 McKinnon St Apt 610, Dallas, TX 75201-1636

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