Clear Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLEAR DERMATOLOGY PLLC

Practice address

17756 Katy Fwy Ste G1
Houston, TX 77094-1380

Phone

(832) 772-3330

Fax

(832) 772-3332

NPI assigned

Feb 24, 2012

Last updated

May 13, 2020By 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

Libbyette E Wright, MDNPI 1225002280

Title

Authorized Official

Phone

(713) 984-0010

Specialties & licenses 1

Addresses

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 8

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.

• Rachel Amy Brown, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1730275918
  Medicare reassignment Care Compare group NPD
• Celia Marie Vaclavik, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1164703393
  Medicare reassignment Care Compare group NPD
• Libbyette E Wright, M.D.

  • Dermatology Physician
  • Houston, TX
  • NPI 1225002280
  Medicare reassignment NPD Authorized official
• Quy Pham, M.D

  • Dermatology Physician
  • Oklahoma City, OK
  • NPI 1487000154

  TX

  Medicare reassignment Care Compare group NPD
• Lacy Nicole Gonzalez, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1841628443
  Medicare reassignment Care Compare group
• Alex Christopher Holliday, M.D.

  • Dermatology Physician
  • Roanoke, VA
  • NPI 1689935918

  TX

  Medicare reassignment NPD
• Domina Nyinawinyange, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1952655185
  Medicare reassignment
• Sophia Arusuaine Ederaine

  • Dermatology Physician
  • Houston, TX
  • NPI 1962142950
  NPD

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1467726281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17756 KATY FREEWAY #G1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77094",
            "telephone_number": "832-772-3330",
            "fax_number": "832-772-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17756 KATY FWY STE G1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941380",
            "telephone_number": "832-772-3330",
            "fax_number": "832-772-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "LIBBYETTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-984-0010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Brook SCC LLC (SCC at Clear Brook Crossing Rehabilitation and Healthcare Center)
• Clear Choice Eye Care, PLLC
• Clear Choice Transitions LLC
• Clear Choice Transportation LLC
• Clear Creek Healthcare, Inc. (Nova Hospice)
• Clear Healthcare
• Clear Imaging and Diagnostics LLC
• Clear Imaging North LLC (Clear Imaging & Diagnostics)
• Clear Lake Complete Chiropractic
• Clear Lake Counseling Servicespcinc

• 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 May 13, 2020; 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.