Family Dermatology&Skin Care Center, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

J6984 Issued in TX

Legal business name

FAMILY DERMATOLOGY&SKIN CARE CENTER, PA

Practice address

10905 Memorial Hermann Dr Ste 113
Pearland, TX 77584-3490

Phone

(281) 902-1026

Fax

(713) 340-1725

NPI assigned

Mar 24, 2008

Last updated

Dec 21, 2010By 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

Dr. Isabella Kwaatema Gyening, M.D.

Title

Director

Phone

(281) 902-1026

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1639341233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR STE 113",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "281-902-1026",
            "fax_number": "713-340-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 MEMORIAL HERMANN DR STE 113",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843490",
            "telephone_number": "281-902-1026",
            "fax_number": "713-340-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DERMATOLOGY&SKIN CARE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "GYENING",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_middle_name": "KWAATEMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-902-1026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "J6984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Nicole Fabre, PHARMD
• Deborah Fadowole, M.D.
• Tiffany Ho Fairdosi, M.S., CCC-SLP
• Georgette Nunez Falcon, MHPS
• Family Care Resource Inc (FCR Home Health Care Services)
• Family Guidance of Texas
• Family Guidance of TX
• Family Psychsolutions
• James Fang, AU.D
• Tressa Farley

• Medical Specialty Clinic/Center in Pearland, TX
• Providers in Pearland, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.