Dermatological Association of Texas, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G5714 Issued in TX

Legal business name

DERMATOLOGICAL ASSOCIATION OF TEXAS, PLLC

Practice address

1401 Binz
Suite 200
Houston, TX 77004

Phone

(713) 528-8818

Fax

(713) 528-8848

NPI assigned

Aug 30, 2005

Last updated

Jul 17, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

DERMATOLOGICAL ASSOCIATION OF TEXAS, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Stephen Keith Tyring, MDNPI 1245227263

Title

Medical Director

Phone

(713) 528-8818

Specialties & licenses 1

Addresses

Other names 1

• Dermatological Association of Texas Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 11

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.

• Stephen Keith Tyring, MD PHD

  • Dermatology Physician
  • Webster, TX
  • NPI 1245227263
  Medicare reassignment Care Compare group Authorized official
• Gildo Anthony Micheletti, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1730281544
  Medicare reassignment Care Compare group NPD
• Ayat Alaa Aborahma, PA-C

  • Medical Physician Assistant
  • Plano, TX
  • NPI 1235893090
  Medicare reassignment Care Compare group
• Kristina Marie Ten Haaf, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1497465520
  Medicare reassignment Care Compare group
• Harrison Phu Nguyen, MD, MBA, MPH

  • Dermatology Physician
  • Missouri City, TX
  • NPI 1205333887
  Medicare reassignment NPD
• Kristen Marie Neumann, PA-C

  • Physician Assistant
  • Cedar Park, TX
  • NPI 1609245968
  Medicare reassignment
• Garland C James, PA

  • Physician Assistant
  • Silver Spring, MD
  • NPI 1255968434

  TX

  Medicare reassignment
• Michael Paul Mays, M.D.

  • Surgery Physician
  • Pearland, TX
  • NPI 1780722322
  NPD
• Daniel Anthony Carrasco, MD

  • Dermatology Physician
  • Austin, TX
  • NPI 1558345793
  NPD (past)
• Maria Isabel Colome, MD

  • Dermatopathology Physician
  • Spring, TX
  • NPI 1033214689

  Dermatology

  NPD (past)
• Ashley Rae Group, MD

  • Dermatology Physician
  • Keene, NH
  • NPI 1558528406
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1306839816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BINZ",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77004",
            "telephone_number": "713-528-8818",
            "fax_number": "713-528-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BINZ",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77004",
            "telephone_number": "713-528-8818",
            "fax_number": "713-528-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGICAL ASSOCIATION OF TEXAS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERMATOLOGICAL ASSOCIATION OF TEXAS, PLLC",
        "enumeration_date": "2005-08-30",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "TYRING",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-528-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "G5714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatological Association of Texas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Kathleen Derkacz
• Thomas V Derksen, NP
• Dermagenix LLC
• Howard Steven Derman, M.D.
• Dermatologic Surgery Center of Houston, P.a.
• Dermatology & Cosmetic Surgery Associates PA (Lifeway Dermatology)
• Dermatology Associates
• Dermatology Associates of Texas PLLC
• Dermatology Management Services PLLC (Team Dermatology)
• Dermatology of the Southwest PA

• Dermatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.