Organization Active NPI

Perri Dermatology, PLLC Inc

  • Dermatology Physician
  • Conroe, TX
National Provider Identifier
1174885925
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M6826 Issued in TX
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

Updated by the provider on Jul 23, 2026

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.NPI 1003010687
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
315768701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000929 TX Part B Supplier - Clinic/Group Practice 5294991972 Receives reassigned benefits from 1 practitioner
Practice locations: Conroe, TX; Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.