OrganizationActive
Warthan Dermatology Center
NPI 1003350760 · Dermatology Physician · Nacogdoches, TX
Provider details
- NPI number
- 1003350760
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaclyn Hill, Billing(817) 923-8220
- License
- D8472 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4730 Ne Stallings Dr
Nacogdoches, TX 75965-1615
Phone: (936) 564-6107
Fax: (936) 564-5124
Street-level locationGet directions
Mailing address
4730 Ne Stallings Dr
Nacogdoches, TX 75965-1615
Registry dates
- Enumerated
- 2016-12-14
- Last updated
- 2016-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.