Dermatology Management Services PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY MANAGEMENT SERVICES PLLC

Practice address

9225 Katy Fwy Ste 404
Houston, TX 77024-1531

Phone

(832) 572-5533

Fax

(832) 975-0336

NPI assigned

Dec 2, 2019

Organization subpart

No

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

Authorized official

Name

Tarek Fakhouri, MDNPI 1720247737

Title

Owner

Phone

(832) 308-3470

Specialties & licenses 1

Addresses

Other names 1

• Team 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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tarek Fakhouri, M.D., M.S.

  • Dermatology Physician
  • Sugar Land, TX
  • NPI 1720247737
  Medicare reassignment NPD Authorized official
• Asra Ali, M.D.

  • Dermatology Physician
  • Houston, TX
  • NPI 1144260217
  Medicare reassignment NPD
• Kudakwashe Kuda Maloney, M.D

  • Dermatology Physician
  • Houston, TX
  • NPI 1851528228
  Medicare reassignment NPD
• Laura Tu Anh Nguyen, MPAS, PA-C

  • Medical Physician Assistant
  • Sugar Land, TX
  • NPI 1710578190
  Medicare reassignment

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1992342653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 KATY FWY STE 404",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241531",
            "telephone_number": "832-572-5533",
            "fax_number": "832-975-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 KATY FWY STE 404",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241531",
            "telephone_number": "832-572-5533",
            "fax_number": "832-975-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY MANAGEMENT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "FAKHOURI",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-308-3470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dermatologic Surgery Center of Houston, P.a.
• Dermatological Association of Texas, PLLC
• Dermatology & Cosmetic Surgery Associates PA
• Dermatology Associates
• Dermatology Associates of Texas PLLC
• Dermatology of the Southwest PA
• Dermpreneur, PLLC
• Daniel Dernick, D.D.S.
• Deross Provider Services Inc
• Paul Edward Deroulet, LBSW, LCDC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.