OrganizationActive
Skin Surgery Center, PA
NPI 1811229180 · MOHS-Micrographic Surgery Physician · Colleyville, TX
Provider details
- NPI number
- 1811229180
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diego Marra, Director(817) 924-5200
- License
- M5353 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
6208 Colleyville Blvd
Suite 100
Colleyville, TX 76034-6223
Phone: (817) 924-5200
Fax: (817) 924-5266
Street-level locationGet directions
Mailing address
3000 S Hulen St
Fort Worth, TX 76109-1929
Registry dates
- Enumerated
- 2010-02-11
- Last updated
- 2010-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.