Brenham Dermatology PLLC
Organization Active NPI Dermatology Physician · Brenham, TX
NPI 1104149012 · NPPES record last updated Aug 25, 2011
Key facts
- NPI
- 1104149012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- L2758 (TX)
- Legal business name
- BRENHAM DERMATOLOGY PLLC
- Practice address
- 1910 Niebuhr
Brenham, TX 77833-5037 - Phone
- (979) 353-4267
- NPI assigned
- Mar 5, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Christy A Woodruff, MD
- Title
- Owner
- Phone
- (979) 353-4267
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2097493 | Brenham Dermatology | Compliance | Mar 6, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | L2758 | TX | Yes |
Addresses
Primary practice location
1910 Niebuhr
Brenham, TX 77833-5037
Mailing address
1910 Niebuhr St
Brenham, TX 77833-5037
Phone (979) 353-4267
Other providers in Brenham, TX
- Brenham Clinic Assn
- Brenham Clinic Assn
- Brenham Clinic Assn
- Brenham Clinic Assn
- Brenham Clinic Assn
- Brenham Drug Partners LC
- Brenham Drug Partners LC
- Brenham Eye Associates PLLC
- Brenham Eye Associates, PA
- Brenham Family Care, PLLC
All providers in Brenham, TX · Dermatology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.