OrganizationActive
Integrative Dermatology PA Clinic
NPI 1821896804 · Dermatology Physician · Henderson, NV
Provider details
- NPI number
- 1821896804
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Feroza Thompson, Physician Associate(941) 840-1387
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Practice location
1110 Echo Pass St.
Henderson, NV 89052
Phone: (941) 840-1387
Approximate (ZIP-level) locationGet directions
Mailing address
7533 S Center View Ct Ste R
West Jordan, UT 84084-5526
Additional practice locations (1)
- 1110 Echo Path St.Henderson, NV 89052Phone: (941) 840-1387
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-03-07
- Certified
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.