Kris L Howard MD PA

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

H0466 Issued in TX

Legal business name

KRIS L HOWARD MD PA

Doing business as

West Texas Dermatology Center

Practice address

8141 Dorado Dr
Odessa, TX 79765-8533

Phone

(432) 563-3113

Fax

(432) 563-4206

NPI assigned

Sep 5, 2007

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kris Lynn Howard, MDNPI 1740283019

Title

President

Phone

(432) 563-3113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Texas Dermatology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kris Howard, M.D.

  • Procedural Dermatology Physician
  • Odessa, TX
  • NPI 1740283019
  Medicare reassignment Care Compare group NPD Authorized official
• Audrey Paige Countess, PA-C

  • Physician Assistant
  • Odessa, TX
  • NPI 1427832716
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1053505701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8141 DORADO DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658533",
            "telephone_number": "432-563-3113",
            "fax_number": "432-563-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8141 DORADO DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658533",
            "telephone_number": "432-563-3113",
            "fax_number": "432-563-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS L HOWARD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-563-3113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "H0466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004QP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Texas Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Korner, PTA
• Ewa Korzeniowska, CRNA
• Joni Kouba
• Katie L Koym, OTR
• Matthew Jakob Kozera
• Stephanie Alexandra Kubacak, M.D.
• Aaron Richard Kubosumi, MD
• Kristin Marie Kuenstler, PA
• Pamela Kuiper
• Usha R Kurra II, M.D.

• Procedural Dermatology Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Procedural Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.