Texas Dermatology Specialists, PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

TEXAS DERMATOLOGY SPECIALISTS, PLLC

Practice address

929 Gessner Rd
Suite 2205
Houston, TX 77024-2664

Phone

(713) 771-1100

Fax

(713) 771-1545

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Joseph Fayez Sedrak, MD

Title

Physician/Owner

Phone

(713) 771-1100

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Joseph F Sedrak MD PA Former legal business name

Locations

Practitioners 1

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

• Silvia Sedrak, D.O.

  • Family Medicine Physician
  • Katy, TX
  • NPI 1346360906
  NPD

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1124255377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD",
            "address_2": "SUITE 2205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242664",
            "telephone_number": "713-771-1100",
            "fax_number": "713-771-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD",
            "address_2": "SUITE 2205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242664",
            "telephone_number": "713-771-1100",
            "fax_number": "713-771-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DERMATOLOGY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "SEDRAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FAYEZ",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "713-771-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0078SQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph F Sedrak MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Houston, TX
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.