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EVERGREEN DERMATOLOGY GROUP PLLC NPI 1497269989


NPI Information

NPI: 1497269989
Provider Name: EVERGREEN DERMATOLOGY GROUP PLLC

Doing Business As: EVERGREEN DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
2222 GREENHOUSE RD STE 1000
HOUSTON, TX
ZIP 77084
Phone: (832) 437-1763
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EVERGREEN DERMATOLOGY GROUP PLLC is a dermatology in Houston, TX. The provider is 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. EVERGREEN DERMATOLOGY GROUP PLLC NPI is 1497269989. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Evergreen Dermatology.

The provider's business location address is:

2222 GREENHOUSE RD STE 1000
HOUSTON, TX
ZIP 77084-342
Phone: (832) 437-1763
Fax: (855) 751-8050

The provider's authorized official is Robert Lin .
The authorized official title is Owner and has the following contact phone number (832) 437-1763.

The enumeration date for this NPI number is 11/21/2017 and was last updated on 5/14/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryP4075TEXASNo
2207N00000XDermatologyP4075TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P4075OTHERTEXASSTATE LICENSE

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: 5/5/2024

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