Premier Derm Center, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

L8864 Issued in TX

Legal business name

PREMIER DERM CENTER, PLLC

Practice address

1245 Yale St Unit a
Houston, TX 77008-6959

Phone

(832) 767-5975

Fax

(832) 201-6932

NPI assigned

Feb 3, 2010

Last updated

Apr 13, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Khanh Nguyen, MDNPI 1487675898

Title

Owner

Phone

(832) 767-5975

Specialties & licenses 1

Addresses

Other names 1

• Premier Dermatology Center, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Khanh Nguyen, M.D.

  • Dermatology Physician
  • Houston, TX
  • NPI 1487675898
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1225360050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 YALE ST UNIT A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086959",
            "telephone_number": "832-767-5975",
            "fax_number": "832-201-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 YALE ST UNIT A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086959",
            "telephone_number": "832-767-5975",
            "fax_number": "832-201-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DERM CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-767-5975",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dermatology Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Premier Care Physician Services
• Premier Care Services (Premier Health Services)
• Premier Chiropractic Network (West Houston Chiropractic & Associates)
• Premier Clinic PLLC
• Premier Dental Club PC (Premier Dental Club)
• Premier Diagnostic Center
• Premier Diagnostic Center
• Premier Diagnostic Sleep Center
• Premier Dialysis - Dsi, LLC (US Renal Care Premier Dialysis LLC)
• Premier Gold Health Care

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.