HOUSTON DERMATOLOGY ASSOCIATES PA
NPI 1104917384
Dermatology in Houston, TX

Active since September 27, 2006CLIA 45D0663368 · Microscopy
6560 FANNIN ST STE 1720, HOUSTON, TX 77030(713) 790-0058(713) 790-0410 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Houston Dermatology Associates Pa NPPES

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

HOUSTON DERMATOLOGY ASSOCIATES PA (NPI 1104917384), doing business as Dr Ah Rudolph Or Sh Aldama Pa, is a healthcare organization registered as a dermatology in Houston, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Farah Shah, President, as its authorized official.

NPPES Registry Identity

NPI1104917384
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHOUSTON DERMATOLOGY ASSOCIATES PA
Location Address6560 FANNIN ST STE 1720Houston, TX 77030-2735
Mailing Address6560 Fannin St Ste 1720Houston, TX 77030-2735 · (713) 790-0058 · Fax (713) 790-0410
Fax(713) 790-0410
Organization SubpartNo
Authorized OfficialFarah ShahPresident · (713) 790-0058
Enumeration DateSeptember 27, 2006
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1104917384 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.
6560 FANNIN ST STE 1720, Houston, TX 77030

Other Names 1

Former Legal Business NameDr Ah Rudolph Or Sh Aldama Pa

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 for Provider-Performed Microscopy Procedures (PPMP) 45D0663368

Houston Dermatology Associates PA · Houston, TX
Active · expires Aug 31, 2026
CLIA Number45D0663368
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorFarah Shah MD
Laboratory Phone(713) 790-0058
Laboratory LocationHouston Dermatology Associates PA6560 Fannin Street, Suite 1720, Houston, TX 77030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Dermatology
6560 FANNIN ST STE 1720
HOUSTON, TX 77030
Dermatology
6560 FANNIN ST STE 1720
HOUSTON, TX 77030
Dermatology
6560 FANNIN ST STE 1720
HOUSTON, TX 77030
Dermatology
6560 FANNIN ST STE 1720
HOUSTON, TX 77030
Dermatology
6560 FANNIN ST STE 1720
HOUSTON, TX 77030

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 Houston Dermatology Associates PA's NPI number?

The NPI number for Houston Dermatology Associates PA is 1104917384. It was assigned to this organization in the NPPES registry on September 27, 2006. The provider was formerly known as Dr Ah Rudolph Or Sh Aldama PA.

Where is Houston Dermatology Associates PA located?

Houston Dermatology Associates PA is located at 6560 Fannin St Ste 1720, Houston, TX 77030. The listed phone number is (713) 790-0058.

What is Houston Dermatology Associates PA's specialty?

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

Does Houston Dermatology Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0663368) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Houston Dermatology Associates PA was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.