SOUTHEAST TEXAS DERMATOLOGY CLINIC, PLLC (NPI# 1063864726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063864726 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST TEXAS DERMATOLOGY CLINIC, PLLC |
| Practice Address |
2300 Highway 365 Ste 670 Nederland TX 77627-6292 |
| Practice Telephone | 4097292262 |
| Practice Fax Number | 4097292449 |
| Mailing Telephone | 4097292262 |
| Mailing Fax Number | 4097292449 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | DR. BAYLOR W KURTIS (OWNER) |
| Authorized Official Telephone | 4097292262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
2300 HIGHWAY 365 STE 670 |
| City | NEDERLAND |
| State | TX |
| Zip Code | 77627-6292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635689 | Linda Christine White | Counselor | 2300 Fm 365, Suite 200, Nederland, TX 77627 | 2018-07-10 |
| 1790274462 | Anew Wellness, LLC | Family Medicine | 1005 Nederland Ave, Nederland, TX 77627 | 2018-05-08 |
| 1851800080 | Teekam Lohano, Md Pa | Pediatrics | 2400 Highway 365 Ste 107, Nederland, TX 77627 | 2017-09-20 |
| 1689198129 | Zachary Slay Cecil | Specialist/Technologist | 2101 N 18th St, Nederland, TX 77627 | 2017-07-26 |
| 1336521210 | Kristina Devillier | Counselor | 520 S Twin City Hwy Ste 106, Nederland, TX 77627 | 2015-06-26 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1346518032 | Kyler Counseling Pllc | Counselor | 320 N. 12th St., Nederland, TX 77627 | 2011-12-08 |
| 1093006082 | Gerzain Whitney Gomez | Dentist | 1320 Franklin Ave, Albritton Dental Associates, Nederland, TX 77627 | 2011-04-25 |
| 1689858102 | Chad Hammett M D Pllc | Specialist | 2200 Hwy 365, Nederland, TX 77627 | 2007-12-19 |
| 1760689244 | Jose Vicente Paloma Limjoco | Physical Therapist | 2324 Knickerbocker Drive, Nederland, TX 77627 | 2007-06-28 |
| Find all providers in zip 77627 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346553120 | Amit M. Patel | Dermatology | 2300 Highway 365, Suite 670, Nederland, TX 77627-6256 | 2010-07-21 |
| 1366441610 | Baylor W Kurtis | Dermatology | 2300 Highway 365, Suite 670, Nederland, TX 77627-6256 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.