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BAY AREA LASER SKIN CARE AND WELLNESS CENTER NPI 1316072929


NPI Information

NPI: 1316072929
Provider Name: BAY AREA LASER SKIN CARE AND WELLNESS CENTER
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 45D2096703

Address:
1203 WEST BAY AREA BLVD.
HOUSTON, TX
ZIP 77598
Phone: (832) 868-9313
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BAY AREA LASER SKIN CARE AND WELLNESS CENTER is an internal medicine in Houston, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BAY AREA LASER SKIN CARE AND WELLNESS CENTER NPI is 1316072929. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1203 WEST BAY AREA BLVD.
HOUSTON, TX
ZIP 77598
Phone: (832) 868-9313
Fax: (832) 422-9393

The provider's authorized official is Eric Roberson .
The authorized official title is Co-director and has the following contact phone number (832) 868-9313.

The CLIA number assigned to this NPI record is 45D2096703 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineK2109TEXASYes
2208000000XPediatricsL6264TEXASX
3363A00000XPhysician AssistantPA01230TEXASX
4207R00000XInternal MedicineL6264TEXASX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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