LABORDE DERMATOLOGY, PA Full NPI Record 1003006156
Specialist in Houston, TX

Complete NPI Dataset

The following table represents the complete NPI 1003006156 dataset for Laborde Dermatology, Pa in 1333 WEST LOOP S STE 1425 HOUSTON, TX 77027. The data table includes a list of all field names, values and definitions of the complete NPI record. The NPI dataset is available for download in CSV format using the "Download NPI" button below at the end of the table.

Name Value Definition
NPI1003006156The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameLABORDE DERMATOLOGY, PAThe name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address1333 WEST LOOP S STE 1425The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameHOUSTONThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameTXThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code770279121The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number7139600700The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number7139600761The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address1333 WEST LOOP S STE 1425The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameHOUSTONThe city name in the location address of the provider being identified.


Provider Business Practice Location Address State NameTXThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code770279121The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number7139600700The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number7139600761The fax number associated with the location address of the provider being identified.
Provider Enumeration Date7/25/2007The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Last Update Date6/22/2022The country code in the location address of the provider being identified.
Authorized Official Last NameLABORDEThe telephone number associated with the location address of the provider being identified.
Authorized Official First NameSTEPHENThe date the provider was assigned a unique identifier (assigned an NPI).
Authorized Official Middle NameVANThe date that a record was last updated or changed.
Authorized Official Title or PositionPHYSICIAN / PRESIDENTThe code designating the provider’s gender if the provider is a person.
Authorized Official Telephone Number7139600700Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Taxonomy Code 1174400000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1L5013Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number State Code 1TXThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1YThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Is Organization SubpartN
Authorized Official Credential TextMD
Healthcare Provider Taxonomy Group 1193400000X SINGLE SPECIALTY GROUP
NPI Certification Date6/22/2022