NPI 1710917521 · live from the CMS NPI Registry
Advanced Dermatology And Skin Care PA
Dermatology in Katy, TX. National Provider Identifier 1710917521, active.
NPI record
| NPI | 1710917521 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 430 S Mason Rd, Suite 101, Katy, TX 77450 |
| Practice phone | 281-392-3803 |
| Mailing address | Po Box 710270, Houston, TX 77271 |
| Enumerated | July 4, 2006 |
| Last updated | April 19, 2016 |
| Authorized official | Kelly Duncan, Practice Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.