Active NPI
Bayshore Dermatology Clinic
- Dermatology Physician
- Pasadena, TX
National Provider Identifier
1215428297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- BAYSHORE DERMATOLOGY CLINIC
- Practice address
- 3901 Woodlawn Ave
Pasadena, TX 77504-1956 - Phone
- (713) 946-2666
- Fax
- (713) 946-9595
- NPI assigned
- May 24, 2018
- Last updated
- May 24, 2018
- 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
- Robert S Tausend, MD
- Title
- MD
- Phone
- (713) 946-2666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
3901 Woodlawn Ave
Pasadena, TX 77504-1956
Mailing address
3901 Woodlawn Ave
Pasadena, TX 77504-1956
Phone (713) 946-2666
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
- Pasadena, TX
- NPI 1134549140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527120000000",
"number": "1215428297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 WOODLAWN AVE",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041956",
"telephone_number": "713-946-2666",
"fax_number": "713-946-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 WOODLAWN AVE",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041956",
"telephone_number": "713-946-2666",
"fax_number": "713-946-9595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYSHORE DERMATOLOGY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A",
"authorized_official_last_name": "TAUSEND",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "713-946-2666",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
- Baylor College of Medicine (Community Pathology Associates)
- Baylor College of Medicine Radiology Associates
- Baylor College of Medicine, Department of Orthopedic Surgery
- Bayshore Area Pediatric Clinic, PA
- Bayshore Dermatology Clinic
- Bayshore Health Mart, Inc. (Bayshore Health Mart)
- Bayshore Optical Company
- Bayshore Pediatrics
- Bayshore Pharmacy Inc (Bayshore Pharmacy)
- Bayshore Radiation Oncology Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.