Southeast Texas Dermatology Clinic, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SOUTHEAST TEXAS DERMATOLOGY CLINIC, PLLC

Practice address

2300 Highway 365 Ste 670
Nederland, TX 77627-6292

Phone

(409) 729-2262

Fax

(409) 729-2449

NPI assigned

Jul 6, 2016

Last updated

Oct 7, 2016By 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

Dr. Baylor W KurtisNPI 1366441610

Title

Owner

Phone

(409) 729-2262

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Baylor W Kurtis

  • Dermatology Physician
  • Nederland, TX
  • NPI 1366441610
  Authorized official Same address or phone

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1063864726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 670",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276292",
            "telephone_number": "409-729-2262",
            "fax_number": "409-729-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365 STE 670",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276292",
            "telephone_number": "409-729-2262",
            "fax_number": "409-729-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS DERMATOLOGY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "KURTIS",
        "authorized_official_first_name": "BAYLOR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-729-2262",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleep and Fatigue Associates PA
• Albert Hill Smith, PH.D.,CEAP,Q-SAP
• Solace Therapy LLC
• David E Sonnier, DDS
• Lindsey Sorrell, M.S., CCC-SLP
• Southeast Texas Nephrology Associates PA
• Southeast Texas Neurology,PA (Medical Neurology)
• Southeast Texas Pediatric Center PA
• Southeast Texas Sleep Diagnostics LLC
• Kristi Breanne Sparkman, DDS

• Dermatology Physician in Nederland, TX
• Providers in Nederland, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.