Prism Dermatology, PLLC
NPI 1043795743ActiveOrganization· Dermatology· Southlake, TX
Dermatology in Southlake, Texas, registered in NPPES in September 2018. The authorized official on file is Walter Gaman, MD, President.
Overview
| NPI | 1043795743 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2018 |
| Last updated in NPPES | Sep 27, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Southlake
- 1942645387
- 1073298832
- 1164904082
- 1760075253
- 1346189792
- 1215964473
- 1023279346
- 1003833658
- 1023275963
- 1891186078