# MISMO DERM AND WOUND TX ED PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861362386
- **Authorized official:** JAMISON FERAMISCO MD, PHD (CEO/PRESIDENT)
- **Authorized official phone:** (214) 621-4303

## Contact information

- **Practice address:** 1303 AUTUMN MIST WAY, ARLINGTON, TX 76005-4533
- **Practice address phone:** (214) 621-4303
- **Mailing address:** 1303 AUTUMN MIST WAY, ARLINGTON, TX 76005-4533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2025
- **Last updated:** 11/10/2025