NPIMap

Organization Active NPI

Elite Derm Services, PLLC

  • Dermatopathology (Pathology) Physician
  • Fulshear, TX
National Provider Identifier
1861209298
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
Legal business name
ELITE DERM SERVICES, PLLC
Practice address
27131 Fulshear Bend Dr
Fulshear, TX 77441-1231
Phone
(281) 612-0050
Fax
(281) 612-0051
NPI assigned
Dec 18, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Christopher Rizk, MDNPI 1134514979
Title
Owner
Phone
(281) 612-0050

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 (Pathology) Physician 207ZD0900X Primary

Addresses

Primary practice location

27131 Fulshear Bend Dr
Fulshear, TX 77441-1231

Mailing address

27131 Fulshear Bend Dr
Fulshear, TX 77441-1231
Phone (281) 612-0050

National Provider Directory

National Provider Directory

Locations

27131 Fulshear Bend Dr
Fulshear, TX 77441
Phone (281) 612-0050

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1861209298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27131 FULSHEAR BEND DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411231",
            "telephone_number": "281-612-0050",
            "fax_number": "281-612-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27131 FULSHEAR BEND DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411231",
            "telephone_number": "281-612-0050",
            "fax_number": "281-612-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DERM SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "RIZK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-612-0050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.