Katy Dermatology, P.A. in Katy - Specialist
Katy Dermatology, P.A. - NPI 1346446051
Katy Dermatology, P.A. is a Specialist in Katy, Texas. Katy Dermatology, P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Katy Dermatology, P.A. is 1346446051. The last update date is 2010-09-21.
Katy Dermatology, P.A.'s current location address is 21310 Provincial Blvd, Katy, Texas. You can contact this provider via phone number 2815990404 and fax number 2815991655. The mailing address for Katy Dermatology, P.A. is 21310 Provincial Blvd, Katy, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Katy Dermatology, P.A. |
|---|---|
| Address | 21310 Provincial Blvd, Katy, Texas |
| Phone Number | 2815990404 |
| Fax Number | 2815991655 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Czelusta J Adam |
| Credentials | M.D. |
| Telephone Number | 2815990404 |
NPI Number Detail
| NPI Number | 1346446051 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2010-09-21 |
Provider Mailing Address Detail
| Address | 21310 Provincial Blvd |
|---|---|
| City | Katy |
| State | Texas (TX) |
| Post Code | 774507580 |
| Phone Number | 2815990404 |
| Fax Number | 2815991655 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | L5711 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4516713 | TX | CIGNA | |
| 168278301 | TX | -- | |
| 0074LM | TX | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Katy Dermatology, P.A. by the Centers for Medicare & Medicaid Services?
The Katy Dermatology, P.A. has been issued the NPI (National Provider Identifier) 1346446051. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Katy Dermatology, P.A. is geographically located?
The Katy Dermatology, P.A. is physically situated at the following location: 21310 Provincial Blvd, Katy, TX, 774507580.
What is Katy Dermatology, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Katy Dermatology, P.A. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Katy Dermatology, P.A. receive its 1346446051 assignment from the Centers for Medicare & Medicaid Services?
The Katy Dermatology, P.A. was assigned its 1346446051 on 2007-06-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Katy Dermatology, P.A. most recently updated or revised?
The information pertaining to Katy Dermatology, P.A., including its address, specialty, and other relevant details, was last updated or revised on 2010-09-21.