Cinco Ranch Dermatology, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

P4855 Issued in TX

Legal business name

CINCO RANCH DERMATOLOGY, P.A.

Doing business as

Cinco Ranch Dermatology

Practice address

23050 Westheimer Pkwy
Katy, TX 77494-3596

Phone

(281) 394-9500

Fax

(281) 394-5350

NPI assigned

Mar 17, 2013

Last updated

May 6, 2021By 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. Kelly B Conner, M.D.NPI 1801039722

Title

Owner / Authorized Official

Phone

(281) 394-9500

Specialties & licenses 1

Addresses

Other names 1

• Cinco Ranch Dermatology Doing business as

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 10

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.

• Kelly B Conner, M.D.

  • Dermatology Physician
  • Katy, TX
  • NPI 1801039722
  Medicare reassignment Care Compare group NPD Authorized official
• Rani Michelle Cooper, M.D.

  • Dermatology Physician
  • Katy, TX
  • NPI 1285839084
  Medicare reassignment Care Compare group NPD
• Hoang Ngan Ho-Pham, MD

  • Dermatology Physician
  • Katy, TX
  • NPI 1033615638
  Medicare reassignment Care Compare group NPD
• Hannah Dakin Kovar, MD

  • Dermatology Physician
  • Katy, TX
  • NPI 1306425277
  Medicare reassignment Care Compare group NPD
• Amy Jiaqi Zhang, MD

  • Dermatology Physician
  • Katy, TX
  • NPI 1649733734
  Medicare reassignment Care Compare group NPD
• Natalie Leticia Hone Romero, M.D.

  • Dermatology Physician
  • Bellaire, TX
  • NPI 1184065690
  Medicare reassignment NPD
• Kimberly Amber Lau Alvarez, PA-C

  • Physician Assistant
  • Sugar Land, TX
  • NPI 1770290587
  NPD (past)
• Tarek Fakhouri, M.D., M.S.

  • Dermatology Physician
  • Sugar Land, TX
  • NPI 1720247737
  NPD (past)
• Laura Tu Anh Nguyen, MPAS, PA-C

  • Medical Physician Assistant
  • Sugar Land, TX
  • NPI 1710578190
  NPD (past)
• Laraib Zulekha Safeer, MD

  • Dermatology Physician
  • Sugar Land, TX
  • NPI 1285197319
  NPD (past)

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1780926733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23050 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943596",
            "telephone_number": "281-394-9500",
            "fax_number": "281-394-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23050 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943596",
            "telephone_number": "281-394-9500",
            "fax_number": "281-394-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCO RANCH DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-17",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-394-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P4855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cinco Ranch Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cinco Ranch Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cinco Anesthesia Associates PLLC
• Cinco Meadows Dental PLLC
• Cinco Medical Anesthesia Services
• Cinco Ranch Behavioral Health
• Cinco Ranch Dental, P. a.
• Cinco Ranch Endodontics
• Cinco Ranch Family Wellness LLC
• Cinco Ranch Medical Center
• Cinco Ranch Sleep Center, LLC
• Cinco Ranch Smiles & Braces PLLC

• Dermatology Physician in Katy, TX
• Providers in Katy, 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 6, 2021; 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.