RESTORE DERMATOLOGY PLLC NPI 1831061217

NPI Information

  • NPI: 1831061217
  • Provider Name: RESTORE DERMATOLOGY PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 375 MUNICIPAL DR STE 114
    RICHARDSON, TX
    ZIP 75080
  • Phone: (469) 381-4076

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NPI Details

RESTORE DERMATOLOGY PLLC is a family nurse practitioner in Richardson, TX. RESTORE DERMATOLOGY PLLC NPI is 1831061217. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

375 MUNICIPAL DR STE 114
RICHARDSON, TX
ZIP 75080-543
Phone: (469) 381-4076

The provider's authorized official is Derrell Hayden .
The authorized official title is Owner and has the following contact phone number (972) 795-3859.

The enumeration date for this NPI number is 9/23/2025 and was last updated on 9/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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