NPIMap

Organization Active NPI

Dermatology and Laser Medicine of Southeast Texas PLLC

  • Dermatology Physician
  • Beaumont, TX
National Provider Identifier
1174060677
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L8123 Issued in TX
Legal business name
DERMATOLOGY AND LASER MEDICINE OF SOUTHEAST TEXAS PLLC
Practice address
350 Pine St
Suite 1438
Beaumont, TX 77701-2437
Phone
(409) 835-2737
NPI assigned
Jan 23, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Dr. Sharon Marchand, M.D.NPI 1760492078
Title
Owner
Phone
(409) 201-7293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X L8123 TX Primary

Addresses

Primary practice location

350 Pine St
Suite 1438
Beaumont, TX 77701-2437

Mailing address

350 Pine St
Suite 1438
Beaumont, TX 77701-2437
Phone (409) 835-2737

National Provider Directory

National Provider Directory

Locations

350 Pine St
Ste 1438
Beaumont, TX 77701
Phone (409) 835-2737

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1174060677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE ST",
            "address_2": "SUITE 1438",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777012437",
            "telephone_number": "409-835-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE ST",
            "address_2": "SUITE 1438",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777012437",
            "telephone_number": "409-835-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND LASER MEDICINE OF SOUTHEAST TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "MARCHAND",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-201-7293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L8123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.