The Woodlands Skin Surgery Center PA

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

THE WOODLANDS SKIN SURGERY CENTER PA

Practice address

3786 FM 1488 Rd Ste 200
The Woodlands, TX 77384-4989

Phone

(281) 364-8844

Fax

(281) 364-8833

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

Tami Mims, CMC,CMOM

Title

Credentialing Coordinator

Phone

(281) 364-8844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Woodlands Skin Surgery Center PA

  • MOHS-Micrographic Surgery Physician
  • The Woodlands, TX
  • NPI 1427081660

  O20060914000649

  Same enrollment

Locations

Practitioners 6

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

• Nader Aboul-Fettouh, MD

  • MOHS-Micrographic Surgery Physician
  • Allen, TX
  • NPI 1508360298
  NPD
• Jennifer Buffard, ARNP

  • Nurse Practitioner
  • The Woodlands, TX
  • NPI 1770884454
  NPD
• Robert H Cook-Norris, MD

  • MOHS-Micrographic Surgery Physician
  • The Woodlands, TX
  • NPI 1164641171
  NPD
• Brent Andrew Shook, M.D.

  • MOHS-Micrographic Surgery Physician
  • Conroe, TX
  • NPI 1255365789
  NPD
• Suneel Chilukuri, MD

  • MOHS-Micrographic Surgery Physician
  • Bellaire, TX
  • NPI 1578674305
  NPD (past)
• Phillip Neal Freeman, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Beaumont, TX
  • NPI 1033207097
  NPD (past)

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1396074134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3786 FM 1488 RD STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844989",
            "telephone_number": "281-364-8844",
            "fax_number": "281-364-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 FM 1488 RD STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844989",
            "telephone_number": "281-364-8844",
            "fax_number": "281-364-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13325 Hargrave Rd Ste 130&140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770704539",
            "country_code": "US",
            "telephone_number": "281-364-8844",
            "fax_number": "281-364-8833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20207 Chasewood Dr",
            "address_2": "Suite100",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77070",
            "country_code": "US",
            "telephone_number": "281-364-8844",
            "fax_number": "281-364-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WOODLANDS SKIN SURGERY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "281-364-8844",
        "authorized_official_credential": "CMC,CMOM"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Woodlands Outpatient Surgical Center
• The Woodlands Physical Medicine Center
• The Woodlands Recovery and Wellness
• The Woodlands Religious Community, Inc
• The Woodlands Retina Center, PA
• The Woodlands Skin Surgery Center PA
• The Woodlands Specialized Therapy and Rehab Services PLLC
• The Woodlands Sports Medicine Centre, PA
• The Woodlands TX Caregiving LLC
• The Woodlands United Methodist Church

• MOHS-Micrographic Surgery Physician in The Woodlands, TX
• Providers in The Woodlands, 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 Apr 20, 2026; 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.