Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Magnolia Dermatology of Frisco PLLC

Organization Dermatology Physician · NPI 1821746660

Magnolia Dermatology of Frisco PLLC provides Dermatology Physician services in Frisco, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13192 Dallas Pkwy Ste 620
Frisco, TX 75033-4248
Phone: (972) 668-3376
Fax: (972) 668-7546
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Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1821746660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carla Gustovich — President · (972) 668-3376
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022
Mailing address13192 Dallas Pkwy Ste 620, Frisco, TX 75033-4248

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