OrganizationActive
Epiphany Dermatology PA
NPI 1043615263 · Dermatology Physician · Waco, TX
Provider details
- NPI number
- 1043615263
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gheorghe Pusta, Ceo(512) 628-0465
- License
- Q1815 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
7106 Sanger Avenue
Waco, TX 76712-3928
Phone: (254) 537-1265
Fax: (254) 537-1310
Approximate (ZIP-level) locationGet directions
Mailing address
7300 Ranch Road 2222, Bldg 1, Ste 200
Austin, TX 78730-3255
Registry dates
- Enumerated
- 2014-10-30
- Last updated
- 2023-07-21
- Certified
- 2023-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.