Prestige Dermatology of Alliance, PLLC
Prestige Dermatology of Alliance, PLLC is a Dermatology Physician in Fort Worth, Texas. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3629 Western Center Blvd Ste 201Fort Worth, TX 76137-1939
Phone: (817) 766-7421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
Record details
| NPI number | 1427415314 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Pham — Managing Member · (817) 766-7421 |
| NPI enumerated | January 22, 2016 |
| Last updated in NPPES | January 21, 2021 |
| Certification date | January 21, 2021 |
| Mailing address | 3629 Western Center Blvd Ste 211, Fort Worth, TX 76137-1940 |
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