| Aspire Skin Health, Pllc | |
|
211 Crown Pointe Blvd Ste 300 Willow Park TX 76087-1309 | |
| (817) 482-0000 | |
| Not Available |
| Full Name | Aspire Skin Health, Pllc |
|---|---|
| Speciality | Pathology |
| Location | 211 Crown Pointe Blvd Ste 300, Willow Park, Texas |
| Authorized Official Name and Position | Cameran Nguyen (PHYSICIAN) |
| Authorized Official Contact | 8174820000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Skin Health, Pllc 211 Crown Pointe Blvd Ste 300 Willow Park TX 76087-1309 Ph: (817) 482-0000 | Aspire Skin Health, Pllc 211 Crown Pointe Blvd Ste 300 Willow Park TX 76087-1309 Ph: (817) 482-0000 |
| NPI Number | 1568031995 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 12/31/2023 |
| Medicare PECOS PAC ID | 9830592195 |
|---|---|
| Medicare Enrollment ID | O20210723001284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568031995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | (* (Not Available)) | Primary |
| Provider Name | Cameran Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639312697 PECOS PAC ID: 6002031267 Enrollment ID: I20210723001591 |
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