OrganizationActive
Fresh Dermatology, P.A.
NPI 1962838524 · Dermatology Physician · Lakeway, TX
Provider details
- NPI number
- 1962838524
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Candace Thrash Nguyen, President(512) 615-5600
- License
- L8216 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1008 Rr 620 S Ste 101
Lakeway, TX 78734-5632
Phone: (512) 615-5600
Fax: (512) 615-5606
Approximate (ZIP-level) locationGet directions
Mailing address
1008 Rr 620 S Ste 101
Lakeway, TX 78734-5632
Registry dates
- Enumerated
- 2013-09-15
- Last updated
- 2013-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.