Advanced Dermatologic Surgery PA
Dermatology, MOHS-Micrographic Surgery in Houston, Texas
1710028295- Practice location
- 1213 Hermann Dr, Suite #650, Houston, TX 77004-7018
- Phone
- 713-528-8882
- Fax
- 713-528-8883
- Last updated
- November 13, 2019
Advanced Dermatologic Surgery PA is a healthcare organization based in Houston, TX. The NPI number for Advanced Dermatologic Surgery PA is 1710028295 and holds license No. M6002 (TX). The current practice location address is 1213 Hermann Dr, Suite #650, Houston, TX 77004-7018 and the office can be reached by phone at 713-528-8882 and by fax at 713-528-8883. The NPI was assigned on February 9, 2007 and the record was last updated in NPPES on November 13, 2019.
●Provider Profile Details
- NPI Number
- 1710028295
- Provider Name
- Advanced Dermatologic Surgery PA
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Organization Subpart
- No
- Authorized Official
- Dr. Lawrence L Anderson, MD · Owner · 214-420-0650
- Enumeration Date
- February 9, 2007
- Last Update Date
- November 13, 2019
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1213 Hermann Dr
Suite #650
Houston, TX 77004-7018 - City
- Houston
- State
- Texas
- ZIP
- 77004-7018
- Country
- US
- Phone Number
- 713-528-8882
- Fax Number
- 713-528-8883
✉Business Mailing Address
- Address
- 5310 Harvest Hill RD Suite 290
Dallas, TX 75320-5826 - City
- Dallas
- State
- TX
- ZIP
- 75320-5826
- Phone Number
- 214-420-0650
- Fax Number
- 214-736-0512
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dermatology 193400000X - Multiple Single Specialty Group | 207N00000X | No | — | — |
| Dermatology, Procedural Dermatology 193400000X - Multiple Single Specialty Group | 207NS0135X | No | — | — |
| Dermatology, MOHS-Micrographic Surgery 193400000X - Multiple Single Specialty Group | 207ND0101X | Yes | M6002 | TX |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Houston →?Frequently Asked Questions
What is the NPI number of Advanced Dermatologic Surgery PA?
The NPI number of Advanced Dermatologic Surgery PA is 1710028295. It was assigned on February 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Advanced Dermatologic Surgery PA?
Advanced Dermatologic Surgery PA is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X) and holds license No. M6002 (TX).
Where does Advanced Dermatologic Surgery PA practice?
The practice location is 1213 Hermann Dr, Suite #650, Houston, TX 77004-7018. The office can be reached at 713-528-8882 (phone) or 713-528-8883 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710028295 directly on the NPPES registry website at npiregistry.cms.hhs.gov.