Houston Dermatology Associates PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HOUSTON DERMATOLOGY ASSOCIATES PA

Practice address

6560 Fannin St Ste 1720
Houston, TX 77030-2735

Phone

(713) 790-0058

Fax

(713) 790-0410

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Farah Shah, MDNPI 1164533378

Title

President

Phone

(713) 790-0058

Specialties & licenses 1

Addresses

Other names 1

• Dr AH Rudolph or SH Aldama PA Former legal business name

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 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farah Shah, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1164533378
  Medicare reassignment Care Compare group NPD Authorized official
• Jennie Ann Ozog Duffy, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1851395800
  Medicare reassignment Care Compare group NPD
• Emily Mintz, M.D.

  • Dermatology Physician
  • Houston, TX
  • NPI 1194978254
  Medicare reassignment Care Compare group NPD
• Zena Wai-Han Zoghbi, M.D.

  • Dermatology Physician
  • Houston, TX
  • NPI 1497199566
  Medicare reassignment Care Compare group NPD
• Carlos E Munoz, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Houston, TX
  • NPI 1386756476
  NPD (past)
• Gregory W Stocks, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Houston, TX
  • NPI 1861480238
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1104917384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302735",
            "telephone_number": "713-790-0058",
            "fax_number": "713-790-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302735",
            "telephone_number": "713-790-0058",
            "fax_number": "713-790-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON DERMATOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-790-0058",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr AH Rudolph or SH Aldama PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Houston Dental Health Institute PA
• Houston Dental Sleep Apnea Solutions LLC
• Houston Dental Sleep Therapy
• Houston Dentistry & Aesthetics PLLC
• Houston Dentistry PC
• Houston Diabetes and Neuropathy PLLC
• Houston Diagnostic Cath Lab LP
• Houston Diagnostics
• Houston Diagnostics Lab LLC
• Houston Dialysis Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.