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

Fresh Dermatology, PA

Organization Dermatology Physician · NPI 1962838524

Fresh Dermatology, PA is a Dermatology Physician in Lakeway, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1008 Rr 620 S Ste 101
Lakeway, TX 78734-5632
Phone: (512) 615-5600
Fax: (512) 615-5606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence L8216 (TX)

Record details

NPI number1962838524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Candace Thrash Nguyen — President · (512) 615-5600
NPI enumeratedSeptember 15, 2013
Last updated in NPPESSeptember 15, 2013
Mailing address1008 Rr 620 S Ste 101, Lakeway, TX 78734-5632

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