Southlake Dermatology – Specialist, NPI 1942233895

Southlake Dermatology is a healthcare provider. based in Southlake, Texas. specializing in Specialist. The organization holds a License No. K0476 (TX). The NPI Number for Southlake Dermatology is 1942233895

Main info

Organization
Name
Southlake Dermatology
NPI
1942233895
Phone
(817) 251-6500
Address
1170 N CARROLL AVE
Authorized Official
DR. ANGELA G BOWERS PRESIDENT MD PA
Enumeration Date
7 July 2006
Last Update Date
6 April 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Southlake Dermatology

  • 1170, North Carroll Avenue, Southlake, Tarrant County, Texas, 76092, United States

    SOUTHLAKE, TX 76092

    Phone: (817) 251-6500

    Fax: (817) 442-0550

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76092)

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Reviews

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Frequently asked questions

Where can patients find Southlake Dermatology's NPI?
You can confirm Southlake Dermatology with NPI 1942233895; it appears in the national provider directory.
Does this profile mean Southlake Dermatology is currently active?
Yes — Southlake Dermatology appears active in the national provider directory.
What does Southlake Dermatology treat or focus on?
Patients typically see Southlake Dermatology under the specialty Other Service Providers. Clinical services aligned with this taxonomy classification.
Does Southlake Dermatology practice in Texas?
You will see Southlake, Texas on file for Southlake Dermatology alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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