Maureen Ezekor, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

V1766 Issued in TX

Practice address

10970 Shadow Creek Pkwy Ste 360
Pearland, TX 77584-0123

Phone

(346) 258-4080

NPI assigned

Apr 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical Branch at Galveston, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humble Dermatology PLLCGroup PAC ID 4981954443, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00154
• FHIR API: https://fhir4.healow.com/fhir/r4/CFFDBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Humble Dermatology PLLC

  • Dermatology Physician
  • Humble, TX
  • NPI 1679064968
  Medicare reassignment Care Compare group NPD
• CLS Health PLLC

  • Infectious Disease Physician
  • Webster, TX
  • NPI 1750305355

  Dermatology

  Medicare reassignment NPD (past)
• Howard University

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1033163597

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1689203192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58538",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 SHADOW CREEK PKWY STE 360",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840123",
            "telephone_number": "346-258-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Province Village  Dr",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "77581",
            "country_code": "US",
            "telephone_number": "346-258-4080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18980 N Memorial Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384498",
            "country_code": "US",
            "telephone_number": "281-707-6400",
            "fax_number": "281-584-6432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10905 Memorial Hermann Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775843773",
            "country_code": "US",
            "telephone_number": "346-258-4080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Kobayashi Ste C",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984722",
            "country_code": "US",
            "telephone_number": "281-816-3092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZEKOR",
        "first_name": "MAUREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "V1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Executive Choice Home Care Services
• Executive Choice Home Services
• Executive Therapy & Educational Services Inc
• Eyedoc Vision Services, PLLC
• Eyemasters of Texas LTD
• Leah Nicole Fabre, PHARMD
• Deborah Fadowole, M.D.
• Tiffany Ho Fairdosi, M.S., CCC-SLP
• Georgette Nunez Falcon, MHPS
• Family Care Resource Inc

• Dermatology Physician in Pearland, TX
• Providers in Pearland, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.