Harrison Dermatology of Lake Jackson PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HARRISON DERMATOLOGY OF LAKE JACKSON PLLC

Practice address

215 Oak Dr S Ste W
Lake Jackson, TX 77566-5618

Phone

(936) 241-0123

Fax

(936) 241-0210

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Harrison Phu Nguyen, MDNPI 1205333887

Title

Owner

Phone

(832) 392-8889

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harrison Phu Nguyen, MD, MBA, MPH

  • Dermatology Physician
  • Missouri City, TX
  • NPI 1205333887
  NPD Authorized official

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1306668041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 W COLLEGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770054322",
            "telephone_number": "832-392-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OAK DR S STE W",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665618",
            "telephone_number": "936-241-0123",
            "fax_number": "936-241-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON DERMATOLOGY OF LAKE JACKSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HARRISON",
        "authorized_official_middle_name": "PHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-392-8889",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haleigh Culverhouse
• Rebecca A Hamilton, LMSW
• William Thomas Hardy, HIS
• Chelsea Harkreader, PT
• Mary Ann Harnden, MS,PT
• Robert G Haws, O.D.
• Healthy Growth Mindset, LLC
• Stacie D Heath, PHARMD
• Dale Heathcock
• Heavenly Touch Hospice Care, LLC

• Dermatology Physician in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.