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LABORDE DERMATOLOGY PA NPI 1003006156


NPI Profile

NPI: 1003006156
Provider Name: LABORDE DERMATOLOGY, PA
Classification:Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D1046810

Address:
1333 WEST LOOP S STE 1425
HOUSTON, TX
ZIP 77027
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Phone: (713) 960-0700

LABORDE DERMATOLOGY, PA is a specialist in Houston, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LABORDE DERMATOLOGY, PA NPI is 1003006156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1333 WEST LOOP S STE 1425
HOUSTON, TX
ZIP 77027-121
Phone: (713) 960-0700
Fax: (713) 960-0761

The provider's authorized official is Stephen Van Laborde .
The authorized official title is Physician and has the following contact phone number (713) 960-0700.

The CLIA number assigned to this NPI record is 45D1046810 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/25/2007 and was last updated on 7/25/2007.


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
1174400000XSpecialistL5013TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100646YMEDICARE UPINTEXAS
28D4448MEDICARE PINTEXAS

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: 5/9/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.