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

Organization Dermatology Physician · NPI 1821896804

Integrative Dermatology PA Clinic is a Dermatology Physician in Henderson, Nevada. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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

1110 Echo Pass St
Henderson, NV 89052
Phone: (941) 840-1387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1110 Echo Path St., Henderson, NV 89052 — (941) 840-1387

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Health Service Clinic/Center Taxonomy 261QH0100X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1821896804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Feroza Thompson — Physician Associate · (941) 840-1387
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 7, 2025
Certification dateMarch 5, 2025
Mailing address7533 S Center View Ct Ste R, West Jordan, UT 84084-5526

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