COMPLETE CARE DERMATOLOGY, PLLC (NPI# 1609233642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609233642 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE DERMATOLOGY, PLLC |
| Practice Address |
1831 Latexo Dr Houston TX 77018-1743 |
| Practice Telephone | 2816851005 |
| Mailing Telephone | 2816851005 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | TERRY IJEOMA FALEYE (OWNER/PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 2816851005 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
PA04617 | TX | Ambulatory Health Care Facilities |
| Street Address |
1831 LATEXO DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77018-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748611 | Kourtni C Resnick | Counselor | 2180 North Loop West, Suite 300, Houston, TX 77018 | 2020-04-06 |
| 1992337257 | Ozioma G Anyakudo | Nurse Practitioner | 2815 W Tc Jester Blvd, Houston, Texas 77018, Houston, TX 77018 | 2020-02-05 |
| 1447766092 | Delshaveon Masters | Prosthetist | 2802 W Tc Jester Blvd, Apt 1, Houston, TX 77018 | 2017-12-19 |
| 1891221099 | Jennifer Lyon | Chore Provider | 1222 Lehman, Houston, TX 77018 | 2017-05-08 |
| 1235501610 | Caryn Alyce Honig | Dietitian, Registered | 2060 North Loop W Ste 205, Houston, TX 77018 | 2015-10-26 |
| 1164806485 | Katie E Stuchlik | Dentist | 1717 West 34th Street, Suite 450, Houston, TX 77018 | 2015-07-16 |
| 1124436209 | Martha Mattison | Clinical Ethicist | 501 Garden Oaks, Houston, TX 77018 | 2014-08-01 |
| 1548689383 | Sherry Cooper | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2015 West 34 Th Street Suite A, Houston, TX 77018 | 2014-04-09 |
| 1124377387 | Dionne Tompkins | Dentist | 4040 Yale Street, Houston, TX 77018 | 2012-09-04 |
| 1922330869 | Liliana Zugey Rueda-castrillon | Plastic Surgery | 1100 W 34th Street, Houston, TX 77018 | 2010-02-03 |
| Find all providers in zip 77018 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326969 | Origin Spine Institute LLC | Clinic/Center | 9135 Katy Fwy Ste 300, Houston, TX 77024-1619 | 2020-08-13 |
| 1902369101 | Banerji Plastic Surgery | Clinic/Center | 11914 Astoria Blvd Ste 580, Houston, TX 77089-5975 | 2019-04-13 |
| 1831653526 | Naveli Medical Services, Pllc | Clinic/Center | 9090 Gaylord Dr Ste 200, Houston, TX 77024-2948 | 2019-01-26 |
| 1609378801 | Express Anesthesia & Pain Management Consultants,pllc | Clinic/Center | 6609 W Sam Houston Pkwy S Ste 101, Houston, TX 77072-1641 | 2018-03-02 |
| 1013468396 | Holistic Dermatology of Houston, Pa | Clinic/Center | 2030 N Loop Fwy W, Suite 120, Houston, TX 77018-8101 | 2016-10-20 |
| 1770904096 | Terence M Chang Md Pllc | Clinic/Center | 5233 Lillian St, 1st Floor, Houston, TX 77007-5226 | 2014-01-06 |
| 1699100230 | Syntherapy Clinic Plcc | Clinic/Center | 8300 Bissonnet St Ste 490, Houston, TX 77074-3997 | 2013-09-12 |
| 1831430370 | Full Moon Physician, Lllp | Clinic/Center | 2430 Fry Rd, Ste 100, Houston, TX 77084-5831 | 2013-03-08 |
| 1790044717 | Sunrise Medical Consulting, LLC | Clinic/Center | 13111 East Fwy Ste 317, Houston, TX 77015-5819 | 2012-05-10 |
| 1992074710 | Imd Healthcare and Imaging | Clinic/Center | 13107 W Lake Houston Pkwy, Houston, TX 77044-5391 | 2011-12-22 |
| Find all providers in HOUSTON | ||||
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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.