THE WOODLANDS SKIN SURGERY CENTER PA (NPI# 1396074134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396074134 |
| Entity Type | Organization |
| Organization Name | THE WOODLANDS SKIN SURGERY CENTER PA |
| Practice Address |
13325 Hargrave Rd Suite 130 Houston TX 77070-4539 |
| Mailing Address |
8850 Six Pines Dr Suite 290 Shenandoah TX 77380-2683 |
| Practice Telephone | 2813648844 |
| Practice Fax Number | 2813648833 |
| Mailing Telephone | 2813648844 |
| Mailing Fax Number | 2813648833 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-16 |
| Authorized Official Name | BRENT SHOOK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2813648844 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
TX | Allopathic & Osteopathic Physicians |
| Street Address |
13325 HARGRAVE RD SUITE 130 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227752 | Faisal A Arain | Internal Medicine | 13325 Hargrave Rd, 150, Houston, TX 77070 | 2005-06-29 |
| 1205446515 | Sabrina Daniell | Nurse Practitioner | 13325 Hargrave Rd, Houston, TX 77070-4539 | 2020-08-03 |
| 1770123135 | Cardiovascular Specialists of Willowbrook, Pllc | Internal Medicine | 13325 Hargrave Rd, Houston, TX 77070-4539 | 2020-01-13 |
| 1801451109 | Joanna Marie Roberts | Speech-Language Pathologist | 13325 Hargrave Rd, Houston, TX 77070-4539 | 2019-05-02 |
| 1043711773 | Houston Heart Rhythm Pllc | Internal Medicine | 13325 Hargrave Rd, Houston, TX 77070-4539 | 2018-02-27 |
| 1710436985 | Sneha Guwalani | Physical Therapist | 13325 Hargrave Rd, Suite 250, Houston, TX 77070 | 2016-09-28 |
| 1568814416 | Honorine Frinwie Mufuwah | Nurse Practitioner | 13325 Hargrave Rd, Houston, TX 77070-4539 | 2016-07-04 |
| 1467849505 | Open Door Pediatric Therapy, LLC | Specialist/Technologist | 13325 Hargrave Rd, Suite 250, Houston, TX 77070-4539 | 2015-04-15 |
| 1225467517 | Physician Support Services Pllc | Clinic/Center | 13325 Hargrave Rd, Suite 190, Houston, TX 77070-4539 | 2013-11-06 |
| 1831457928 | Ashley Elizabeth Mcdermott | Audiologist | 13325 Hargrave Rd, Ste 270, Houston, TX 77070-4539 | 2012-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
| Find all providers in zip 77070 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255745915 | Leon Chen | Dermatology | 6655 Travis St Ste 650, Houston, TX 77030-1316 | 2014-06-19 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1427455377 | Chen Skin and Cancer Surgery, P.a. | Dermatology | 7777 Southwest Fwy Ste 748, Houston, TX 77074-1812 | 2014-11-20 |
| 1346380987 | Skin Surgery Center of Houston Pa | Dermatology | 915 Gessner Rd, Ste 640, Houston, TX 77024-2527 | 2007-02-06 |
| 1023165438 | Derm Surgery Associates P.a. | Dermatology | 7515 Main St, Ste 240, Houston, TX 77030-4519 | 2007-01-05 |
| 1437246386 | Dermatologic Surgery Center of Houston, P.a. | Dermatology | 7737 Southwest Freeway, Suite 930, Houston, TX 77074-1818 | 2006-10-10 |
| 1740377621 | Bruce R. Nelson | Dermatology | 7737 Southwest Fwy, Suite 930, Houston, TX 77074-1818 | 2006-10-10 |
| 1184716102 | Jodi Stengem Markus | Dermatology | 6560 Fannin St, Ste. 724, Houston, TX 77030-2761 | 2006-09-28 |
| 1336184894 | The Skin Surgery Center of Houston Pa | Dermatology | 915 Gessner Rd, #640, Houston, TX 77024-2527 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649800848 | Skin Cancer Dermatology, Pllc | Dermatology | 3327 Research Plz Ste 414, San Antonio, TX 78235-5159 | 2020-01-16 |
| 1598302721 | Austin Skin Pllc | Dermatology | 1501 Dorothy Nichols Ln # B, Smithville, TX 78957-1725 | 2019-12-06 |
| 1154717726 | Joshua Lee Owen | Dermatology | 2632 Broadway, Suite 300 South, San Antonio, TX 78215-7821 | 2015-04-10 |
| 1043615263 | Epiphany Dermatology Pa | Dermatology | 7106 Sanger Avenue, Waco, TX 76712-3928 | 2014-10-30 |
| 1457695413 | Oliver Street 5.01(a) Inc. | Dermatology | 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 | 2012-11-15 |
| 1427330588 | Michael A. Sorace Md Pa | Dermatology | 7950 Floyd Curl Dr Ste 505, Medical Center Tower 1, San Antonio, TX 78229-3924 | 2011-09-15 |
| 1811229180 | Skin Surgery Center, Pa | Dermatology | 6208 Colleyville Blvd, Suite 100, Colleyville, TX 76034-6223 | 2010-02-11 |
| 1265614168 | Michael Sorace | Dermatology | 745 W San Antonio Ave, Suite 100, Boerne, TX 78006-3213 | 2007-12-03 |
| 1780872762 | Susan E Dozier, Md, Pa | Dermatology | 8240 N Mopac Expy Ste 355, Austin, TX 78759-8894 | 2007-10-04 |
| 1780879346 | Eric Stephen Hollabaugh, M.d., Pa | Dermatology | 6100 Windhaven Pkwy Ste 208, Plano, TX 75093-8046 | 2007-09-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.