SOUTHEAST TEXAS DERMATOLOGY CLINIC, PLLC
NPI 1063864726
Dermatology in Nederland, TX

Active since July 06, 2016CLIA 45D2146235 · Certificate of Compliance
2300 HIGHWAY 365 STE 670, NEDERLAND, TX 77627(409) 729-2262(409) 729-2449 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Texas Dermatology Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST TEXAS DERMATOLOGY CLINIC, PLLC (NPI 1063864726) is a healthcare organization registered as a dermatology in Nederland, Texas and active in the NPI registry since July 2016. The organization holds a CLIA Certificate of Compliance certificate valid through May 14, 2027 and lists Baylor W Kurtis, Owner, as its authorized official.

NPPES Registry Identity

NPI1063864726
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHEAST TEXAS DERMATOLOGY CLINIC, PLLC
Location Address2300 HIGHWAY 365 STE 670Nederland, TX 77627-6292
Mailing Address2300 Highway 365 Ste 670Nederland, TX 77627-6292 · (409) 729-2262 · Fax (409) 729-2449
Fax(409) 729-2449
Organization SubpartNo
Authorized OfficialBaylor W KurtisOwner · (409) 729-2262
Enumeration DateJuly 6, 2016
Last NPPES UpdateOctober 7, 2016
NPI 1063864726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2300 HIGHWAY 365 STE 670, Nederland, TX 77627

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D2146235

Southeast Texas Dermatology · Port Arthur, TX
Active · expires May 14, 2027
CLIA Number45D2146235
Laboratory TypePractitioner Other
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorAmit M. Patel
Laboratory Phone(409) 729-2262
Laboratory LocationSoutheast Texas Dermatology8525 9th Ave, Port Arthur, TX 77642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Texas Dermatology Clinic, PLLC's NPI number?

The NPI number for Southeast Texas Dermatology Clinic, PLLC is 1063864726. It was assigned to this organization in the NPPES registry on July 6, 2016.

Where is Southeast Texas Dermatology Clinic, PLLC located?

Southeast Texas Dermatology Clinic, PLLC is located at 2300 Highway 365 Ste 670, Nederland, TX 77627. The listed phone number is (409) 729-2262.

What is Southeast Texas Dermatology Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Southeast Texas Dermatology Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2146235) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Texas Dermatology Clinic, PLLC was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.