NPI age
10 years
Enumerated 2016-01-22
● Active Type 2 · Organization
Prestige Dermatology Of Alliance, Pllc
Prestige Dermatology Of Alliance, Pllc is 1 of 1632 dermatology organizations in Texas.
Primary specialty
Dermatology
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pham
Managing Member
Last NPPES update
2021-01-21
Source: monthly bulk 2026-05
How this organization compares
Across 1632 active dermatology providers in Texas.
NPI age
10 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 29% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-01Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
3629 Western Center Blvd, Suite 201
Fort Worth, TX 761371939
Mailing address
3629 Western Center Blvd Ste 211
Fort Worth, TX 761371940
Authorized official
Ryan Pham, D.O
Managing Member
📞 8177667421
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Craig Freyer, MD Family Medicine NPI 1720097801
- Christina Jones Counselor NPI 1336420918
- Jason McCoy, LCSW Social Worker NPI 1215164835
- Ketki Rana, PT Physical Therapist NPI 1144649088
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.