Magnolia Dermatology of Frisco PLLC
NPI 1821746660ActiveOrganization· Dermatology· Frisco, TX
Dermatology in Frisco, Texas, registered in NPPES in March 2022. The authorized official on file is Carla A. Gustovich, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821746660 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2022 |
| Last updated in NPPES | Mar 11, 2022 |
| Certified by provider | Mar 11, 2022 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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