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KRIS L HOWARD MD PA NPI 1053505701


NPI Information

NPI: 1053505701
Provider Name: KRIS L HOWARD MD PA

Doing Business As: WEST TEXAS DERMATOLOGY CENTER

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 45D0682040

Address:
8141 DORADO DR
ODESSA, TX
ZIP 79765
Phone: (432) 563-3113
Get Directions

KRIS L HOWARD MD PA is a procedural dermatology dermatology in Odessa, TX. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). KRIS L HOWARD MD PA NPI is 1053505701. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Texas Dermatology Center.

The provider's business location address is:

8141 DORADO DR
ODESSA, TX
ZIP 79765-533
Phone: (432) 563-3113
Fax: (432) 563-4206

The provider's authorized official is Kris Lynn Howard .
The authorized official title is President and has the following contact phone number (432) 563-3113.

The CLIA number assigned to this NPI record is 45D0682040 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/5/2007 and was last updated on 11/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural DermatologyH0466TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10004QPOTHERTEXASBCBS
200Z747MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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