ELITE DERMATOLOGY, PLLC
NPI 1104337526
Dermatology in Katy, TX

Q: What is Elite Dermatology, PLLC's NPI number?

The NPI number for Elite Dermatology, PLLC is 1104337526. It was assigned to this organization in the NPPES registry on October 12, 2017.

Q: What is Elite Dermatology, PLLC's specialty?

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

Active since October 12, 2017CLIA Certified · 3 labs

4603 FM 1463 RD STE 100, KATY, TX 77494(281) 612-0050(281) 612-0051 Get Directions Write a Review

NPPES record last updated: October 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elite Dermatology, Pllc NPPES

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

ELITE DERMATOLOGY, PLLC (NPI 1104337526) is a healthcare organization registered as a dermatology in Katy, Texas and active in the NPI registry since October 2017. The organization holds 3 active CLIA laboratory certificates and lists Connie Wang, Md, as its authorized official.

NPPES Registry Identity

NPI1104337526

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameELITE DERMATOLOGY, PLLC

Location Address4603 FM 1463 RD STE 100Katy, TX 77494-6545

Mailing Address4603 Fm 1463 Rd Ste 100Katy, TX 77494-6545

Phone(281) 612-0050

Fax(281) 612-0051

Organization SubpartNo

Authorized OfficialConnie WangMd · (281) 612-0050

Enumeration DateOctober 12, 2017

✔ NPI 1104337526 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.

4603 FM 1463 RD STE 100, Katy, TX 77494

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 45D2141488

Elite Dermatology PLLC · Fulshear, TX

Active · expires Nov 9, 2027

CLIA Number45D2141488

Laboratory TypePhysician Office

Certificate Effective DateNovember 10, 2025

Certificate Expiration DateNovember 9, 2027

Laboratory DirectorSuzanne Alkul

Laboratory Phone(281) 612-0050

Laboratory LocationElite Dermatology PLLC27131 Fulshear Bend Dr, Fulshear, TX 77441

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.

Certificate of Compliance 45D2279020

Elite Dermatology, PLLC · Houston, TX

Active · expires Oct 11, 2027

CLIA Number45D2279020

Laboratory TypePhysician Office

Certificate Effective DateOctober 12, 2025

Certificate Expiration DateOctober 11, 2027

Laboratory DirectorAndrew Fischer

Laboratory Phone(281) 612-0050

Laboratory LocationElite Dermatology, PLLC2437 South Blvd, Apt 16, Houston, TX 77098

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.

Certificate of Compliance 45D2157394

Elite Dermatology PLLC · Kingwood, TX

Active · expires Feb 17, 2027

CLIA Number45D2157394

Laboratory TypePhysician Office

Certificate Effective DateFebruary 18, 2025

Certificate Expiration DateFebruary 17, 2027

Laboratory DirectorDr. Andrew Armenta

Laboratory Phone(281) 612-0050

Laboratory LocationElite Dermatology PLLC4505 Kingwood Drive Ste 185, Kingwood, TX 77345

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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNIE MENGYAN WANG M.D.

Dermatology