NPIMap

Organization Active NPI

Androderm X LLC

  • Primary Care Clinic/Center
  • Webster, TX
National Provider Identifier
1760192017
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ANDRODERM X LLC
Practice address
18201 Gulf Fwy
Webster, TX 77598-3805
Phone
(281) 954-6200
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Humaira Qureshi
Title
Billing Manager
Phone
(281) 712-8033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

18201 Gulf Fwy
Webster, TX 77598-3805

Mailing address

18201 Gulf Fwy
Webster, TX 77598-3805
Phone (281) 954-6200

National Provider Directory

National Provider Directory

Locations

18201 Gulf Fwy
Webster, TX 77598
Phone (281) 954-6200

18201 Gulf Fwy
Unit C
Webster, TX 77598
Phone (281) 954-6200

Practitioners & affiliated clinicians

Practitioners 5

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": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1760192017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18201 GULF FWY",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983805",
            "telephone_number": "281-954-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18201 GULF FWY",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983805",
            "telephone_number": "281-954-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRODERM X LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "HUMAIRA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "281-712-8033"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.