OrganizationActive
Prism Dermatology, PLLC
NPI 1043795743 · Dermatology Physician · Southlake, TX
Prism Dermatology, PLLC is a Dermatology Physician organization in Southlake, TX (NPI 1043795743).
Provider details
- NPI number
- 1043795743
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Walter Gaman, President(972) 258-7499
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
925 E Southlake Blvd Ste 200
Southlake, TX 76092-1476
Phone: (940) 393-9582
Street-level locationGet directions
Mailing address
925 E Southlake Blvd Ste 200
Southlake, TX 76092-1476
Registry dates
- Enumerated
- 2018-09-27
- Last updated
- 2018-09-27
Frequently asked questions
- What is Prism Dermatology, PLLC's NPI number?
- Prism Dermatology, PLLC's National Provider Identifier (NPI) is 1043795743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prism Dermatology, PLLC?
- Prism Dermatology, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Prism Dermatology, PLLC located?
- Prism Dermatology, PLLC's practice location on file with NPPES is 925 E Southlake Blvd Ste 200, Southlake, TX 76092-1476.
- What is Prism Dermatology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prism Dermatology, PLLC is (940) 393-9582.
- Who is the authorized official for Prism Dermatology, PLLC?
- The authorized official listed on Prism Dermatology, PLLC's NPPES record is Walter Gaman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prism Dermatology, PLLC's NPI active?
- Yes — Prism Dermatology, PLLC's NPI (1043795743) is active in the NPPES registry as of the last update on 2018-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.