Organization Active NPI

Agewell Dermatology, PLLC

  • Physician Assistant
  • Cypress, TX
National Provider Identifier
1063356459
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
AGEWELL DERMATOLOGY, PLLC
Practice address
12320 Barker Cypress Rd Ste 600-1012
Cypress, TX 77429-8325
Phone
(281) 685-1005
NPI assigned
Apr 16, 2026
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Dr. Eric Brittain, MD
Title
Managing Member
Phone
(843) 860-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

12320 Barker Cypress Rd Ste 600-1012
Cypress, TX 77429-8325

Mailing address

12320 Barker Cypress Rd Ste 600-1012
Cypress, TX 77429-8325

National Provider Directory

National Provider Directory

Locations

12320 Barker Cypress Rd
Ste 6001012
Cypress, TX 77429
Phone (281) 685-1005

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1063356459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 BARKER CYPRESS RD STE 600-1012",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774298325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 BARKER CYPRESS RD STE 600-1012",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774298325",
            "telephone_number": "281-685-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGEWELL DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "BRITTAIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "843-860-7703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.