Active NPI
Nassau Bay Dermatology PA
- Dermatology Physician
- Webster, TX
National Provider Identifier
1194923599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- NASSAU BAY DERMATOLOGY PA
- Practice address
- 390 E Medical Center Blvd
Webster, TX 77598-4321 - Phone
- (281) 286-4455
- Fax
- (281) 286-3366
- NPI assigned
- Jul 6, 2007
- 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
- Jeanne A Paz, MD
- Title
- Owner
- Phone
- (281) 286-4455
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
390 E Medical Center Blvd
Webster, TX 77598-4321
Mailing address
390 E Medical Center Blvd
Webster, TX 77598-4321
Phone (281) 286-4455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123936001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Dermatology Physician
- Webster, TX
- NPI 1700884210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232064000000",
"number": "1194923599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 E MEDICAL CENTER BLVD",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984321",
"telephone_number": "281-286-4455",
"fax_number": "281-286-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 E MEDICAL CENTER BLVD",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984321",
"telephone_number": "281-286-4455",
"fax_number": "281-286-3366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASSAU BAY DERMATOLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-06",
"last_updated": "2009-01-16",
"status": "A",
"authorized_official_last_name": "PAZ",
"authorized_official_first_name": "JEANNE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-286-4455",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123936001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
- Nagamani Rao MD, PA (Clear Lake Women's Center)
- Manubai Nagamani, MD
- Stephanie Narron, AGACNP
- Nasa Surgical Suite, LLC
- Rawad Nasr, PHARMD
- Nassau Bay Pediatrics PA
- National Health Pharmacy LTD (Clear Lake Professional BLDG Pharmacy)
- National Vision, Inc. (America's Best Contacts & Eyeglasses)
- Melissa Navarrette
- Derek William Neal, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.