Organization Active NPI

Holistic Dermatology of Houston, PA

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1013468396
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
P0022 Issued in TX
Legal business name
HOLISTIC DERMATOLOGY OF HOUSTON, PA
Practice address
2030 N Loop Fwy W
Suite 120
Houston, TX 77018-8101
Phone
(832) 639-3376
Fax
(888) 824-9953
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Karen Chen, M.D.
Title
Director/Owner
Phone
(713) 898-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X P0022 TX Primary

Addresses

Primary practice location

2030 N Loop Fwy W
Suite 120
Houston, TX 77018-8101

Mailing address

2030 N Loop Fwy W
Suite 120
Houston, TX 77018-8101
Phone (832) 639-3376

Other names 1

  • Integrative Dermatology Consultations Doing business as

National Provider Directory

National Provider Directory

Locations

2030 North Loop W
Ste 120
Houston, TX 77018
Phone (346) 291-6790

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013468396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 N LOOP FWY W",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188101",
            "telephone_number": "832-639-3376",
            "fax_number": "888-824-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N LOOP FWY W",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188101",
            "telephone_number": "832-639-3376",
            "fax_number": "888-824-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC DERMATOLOGY OF HOUSTON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "713-898-1419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "P0022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Dermatology Consultations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.