Dermatherapy of Southeast Texas

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DERMATHERAPY OF SOUTHEAST TEXAS

Practice address

730 N Main St
Suite a
Lumberton, TX 77657-7355

Phone

(409) 234-6677

Fax

(409) 351-3262

NPI assigned

Feb 20, 2017

Last updated

Feb 20, 2017By 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

Mr. Trent C Cameron, FNP

Title

Member

Phone

(409) 651-4695

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1962941211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 OLD DOWLEN RD",
            "address_2": "#114",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MAIN ST",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577355",
            "telephone_number": "409-234-6677",
            "fax_number": "409-351-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATHERAPY OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "409-651-4695",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuan Dao, MD
• Darad Management LLC (The Haven)
• Kacie Ann Dawson, LPC-ASSOCIATE
• Nakala Delarue, RCP
• Dental Square PLLC
• Hiteshkumar Devani, DMD
• Victor Dinh
• Jessica Dotson
• Dubois Dental, PLLC
• Mary Dubois, DDS

• Primary Care Clinic/Center in Lumberton, TX
• Providers in Lumberton, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.