Organization Active NPI

Laborde Dermatology, PA

  • Specialist
  • Houston, TX
National Provider Identifier
1003006156
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L5013 Issued in TX
Legal business name
LABORDE DERMATOLOGY, PA
Practice address
1333 West Loop S Ste 1425
Houston, TX 77027-9121
Phone
(713) 960-0700
Fax
(713) 960-0761
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Van Laborde, MDNPI 1962488106
Title
Physician / President
Phone
(713) 960-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X L5013 TX Primary

Addresses

Primary practice location

1333 West Loop S Ste 1425
Houston, TX 77027-9121

Mailing address

1333 West Loop S Ste 1425
Houston, TX 77027-9121
Phone (713) 960-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050413000239 TX Part B Supplier - Clinic/Group Practice 2961449715 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1046810Laborde Dermatology PA1333 West Loop South Suite 1425, Houston, TX 77027Provider-performed microscopyOct 18, 2027

National Provider Directory

National Provider Directory

Locations

1333 West Loop S
Ste 1425
Houston, TX 77027
Phone (713) 534-3126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1003006156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WEST LOOP S STE 1425",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279121",
            "telephone_number": "713-960-0700",
            "fax_number": "713-960-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WEST LOOP S STE 1425",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279121",
            "telephone_number": "713-960-0700",
            "fax_number": "713-960-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORDE DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "LABORDE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PHYSICIAN / PRESIDENT",
        "authorized_official_telephone_number": "713-960-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L5013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.