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TEXAS DERMATOLOGY SPECIALISTS PLLC NPI 1124255377


NPI Information

NPI: 1124255377
Provider Name: TEXAS DERMATOLOGY SPECIALISTS, PLLC

Former Legal Business Name: JOSEPH F SEDRAK MD PA

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 45D1105542

Address:
929 GESSNER RD
SUITE 2205
HOUSTON, TX
ZIP 77024
Phone: (713) 771-1100
Get Directions

TEXAS DERMATOLOGY SPECIALISTS, PLLC is a mohs-micrographic surgery dermatology in Houston, TX. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. TEXAS DERMATOLOGY SPECIALISTS, PLLC NPI is 1124255377. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Joseph F Sedrak Md Pa.

The provider's business location address is:

929 GESSNER RD
SUITE 2205
HOUSTON, TX
ZIP 77024-664
Phone: (713) 771-1100
Fax: (713) 771-1545

The provider's authorized official is Joseph Fayez Sedrak .
The authorized official title is Physician/owner and has the following contact phone number (713) 771-1100.

The CLIA number assigned to this NPI record is 45D1105542 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/15/2009 and was last updated on 12/19/2014.


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
1207N00000XDermatologyNo
2207NS0135XDermatologyProcedural DermatologyNo
3207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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
10A5272MEDICARE PINTEXAS
20078SQOTHERTEXASBCBS

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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