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

Prism Dermatology, PLLC

Organization Dermatology Physician · NPI 1043795743

Prism Dermatology, PLLC is a Dermatology Physician in Southlake, 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.

See every abbreviation used in this directory →

Practice location Address checks out

925 E Southlake Blvd Ste 200
Southlake, TX 76092-1476
Phone: (940) 393-9582
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1043795743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Gaman — President · (972) 258-7499
NPI enumeratedSeptember 27, 2018
Last updated in NPPESSeptember 27, 2018
Mailing address925 E Southlake Blvd Ste 200, Southlake, TX 76092-1476

Other providers in Southlake