Evergreen Dermatology
LBN: Evergreen Dermatology Group Pllc
Evergreen Dermatology is an health care organization with primary practice located at 2222 Greenhouse Rd Ste 1000 , Houston TX 77084-7342. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Evergreen Dermatology Group Pllc can be contacted via phone (832) 437-1763, or through Lin, Robert via phone (832) 437-1763.
Contact Information
Primary practice address
2222 Greenhouse Rd Ste 1000
Houston TX 77084-7342
Phone: (832) 437-1763
Fax: (855) 751-8050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | P4075 | Texas |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | P4075 | Texas |
Profile Details
| NPI number | 1497269989 |
|---|---|
| LBN Legal business name | Evergreen Dermatology Group Pllc |
| DBA Doing business as | Evergreen Dermatology |
| Authorized official | Lin, Robert Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2017 |
| Last updated | May 14th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497269989 | NPPES |
| Texas | Other | P4075 | STATE LICENSE |
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