Active NPI
Dr. W. Dermatology
- Dermatology Physician
- Katy, TX
National Provider Identifier
1215202015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- F0346
- Legal business name
- DR. W. DERMATOLOGY
- Practice address
- 22028C Highland Knolls Dr
Katy, TX 77450-5859 - Phone
- (281) 395-7770
- Fax
- (281) 395-7775
- NPI assigned
- Mar 13, 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
- Dr. Seymour Marcus Weaver III, M.D.
- Title
- President
- Phone
- (281) 395-7770
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 | F0346 | TX | Primary |
Addresses
Primary practice location
22028C Highland Knolls Dr
Katy, TX 77450-5859
Mailing address
22028C Highland Knolls Dr
Katy, TX 77450-5859
Phone (281) 395-7770
National Provider Directory
National Provider DirectoryLocations
22028 Highland Knolls Dr
Ste C
Katy, TX 77450
Phone (281) 395-7770
Practitioners & affiliated clinicians
Practitioners 1
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": "1331596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1215202015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22028C HIGHLAND KNOLLS DR",
"city": "KATY",
"state": "TX",
"postal_code": "774505859",
"telephone_number": "281-395-7770",
"fax_number": "281-395-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22028C HIGHLAND KNOLLS DR",
"city": "KATY",
"state": "TX",
"postal_code": "774505859",
"telephone_number": "281-395-7770",
"fax_number": "281-395-7775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. W. DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "SEYMOUR",
"authorized_official_middle_name": "MARCUS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-395-7770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "TX",
"license": "F0346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.