Provider Demographics
NPI:1942864830
Name:DERMATOLOGY ASSOCIATES OF TEXAS PLLC
Entity Type:Organization
Organization Name:DERMATOLOGY ASSOCIATES OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:TYRING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-773-9317
Mailing Address - Street 1:153 SURF CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3714
Mailing Address - Country:US
Mailing Address - Phone:281-773-9317
Mailing Address - Fax:
Practice Address - Street 1:153 SURF CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3714
Practice Address - Country:US
Practice Address - Phone:281-773-9317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty