Provider profile · NPI 1710028295
Advanced Dermatologic Surgery Pa
Dermatology, MOHS-Micrographic Surgery · Houston, TX · NPI 1710028295 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Dermatology, MOHS-Micrographic Surgery
Enumerated
Feb 9, 2007
License(s)
M6002 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1213 HERMANN DR SUITE #650 | Houston, TX 77004-7018 | 713-528-8882 |
| MAILING | 5310 HARVEST HILL RD SUITE 290 | Dallas, TX 75320-5826 | 214-420-0650 |
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