The Skin Surgery Center of Houston PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

THE SKIN SURGERY CENTER OF HOUSTON PLLC

Practice address

915 Gessner Rd
Ste 640
Houston, TX 77024-2527

Phone

(713) 984-0010

Fax

(713) 984-0067

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Donald

Title

Practice Manager

Phone

(713) 984-0010

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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 3

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

• Erik Thomas Petersen, M.D.

  • MOHS-Micrographic Surgery Physician
  • Houston, TX
  • NPI 1043621048
  Medicare reassignment Care Compare group NPD
• Libbyette E Wright, M.D.

  • Dermatology Physician
  • Houston, TX
  • NPI 1225002280
  Medicare reassignment Care Compare group NPD
• Tarek Fakhouri, M.D., M.S.

  • Dermatology Physician
  • Sugar Land, TX
  • NPI 1720247737
  Medicare reassignment NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1346380987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD",
            "address_2": "STE 640",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242527",
            "telephone_number": "713-984-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD",
            "address_2": "STE 640",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242527",
            "telephone_number": "713-984-0010",
            "fax_number": "713-984-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SKIN SURGERY CENTER OF HOUSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "DONALD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "713-984-0010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179727601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Slimshot Center/Clinic LLC
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• The Smile Doctors, PA
• The Spectrum School

• MOHS-Micrographic Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.