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Prism Dermatology, Pllc

Dermatology Physician in Southlake, TX · enumerated 2018 · authorized official Walter Gaman, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043795743

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Registry record

Entity type Organization (Type 2)
Legal business name Prism Dermatology, Pllc
Practice address 925 E Southlake Blvd Ste 200, Southlake, TX, 76092
Enumeration date Sep 27, 2018
Last updated in NPPES Sep 27, 2018

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Walter Gaman
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-09-27. Verify at npiregistry.cms.hhs.gov.
Where is Prism Dermatology, Pllc located?
The practice location on file with NPPES is in Southlake, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-27.