Organization Active NPI

Hair and Skin Science Center PLLC

  • Dermatopathology Physician
  • Houston, TX
National Provider Identifier
1598461147
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
Legal business name
HAIR AND SKIN SCIENCE CENTER PLLC
Practice address
5373 W Alabama St Ste 204
Houston, TX 77056-5923
Phone
(281) 607-7739
Fax
(281) 299-0091
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Kudakwashe MaloneyNPI 1851528228
Title
Owner
Phone
(281) 607-7739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X Primary

Addresses

Primary practice location

5373 W Alabama St Ste 204
Houston, TX 77056-5923

Mailing address

1127 Eldridge Pkwy Ste 300-110
Houston, TX 77077-1771
Phone (281) 607-7739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241118004344 TX Part B Supplier - Clinic/Group Practice 0547795262 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1127 Eldridge Pkwy
Ste 300110
Houston, TX 77077

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1598461147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 ELDRIDGE PKWY STE 300-110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771771",
            "telephone_number": "281-607-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565923",
            "telephone_number": "281-607-7739",
            "fax_number": "281-299-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR AND SKIN SCIENCE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "KUDAKWASHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-607-7739"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.