Active NPI
Perri Dermatology, PLLC Inc
- Dermatology Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- M6826
- Legal business name
- PERRI DERMATOLOGY, PLLC INC
- Practice address
- 4015 Interstate 45 N Ste 200
Conroe, TX 77304-5076 - Phone
- (936) 522-4966
- Fax
- (936) 522-4998
- NPI assigned
- Jun 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Joseph Perri III, M.D.
- Title
- Owner
- Phone
- (936) 522-4966
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | M6826 | TX | Primary |
Addresses
Primary practice location
4015 Interstate 45 N Ste 200
Conroe, TX 77304-5076
Mailing address
4015 Interstate 45 N Ste 200
Conroe, TX 77304-5076
Phone (936) 522-4966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315768701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4015 Interstate 45 N
Ste 200
Conroe, TX 77304
Phone (281) 943-2740
9305 Pinecroft Dr
Ste 305
The Woodlands, TX 77380
Phone (281) 943-2749
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Conroe, TX
- NPI 1003010687
-
- Dermatology Physician
- Sugar Land, TX
- NPI 1720247737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1174885925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 INTERSTATE 45 N STE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "773045076",
"telephone_number": "936-522-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 INTERSTATE 45 N STE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "773045076",
"telephone_number": "936-522-4966",
"fax_number": "936-522-4998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRI DERMATOLOGY, PLLC INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-07",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "PERRI",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-522-4966",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "TX",
"license": "M6826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "315768701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.