LIFEWAY DERMATOLOGY
NPI 1164859229
Specialist in Houston, TX

Q: What is Dermatology & Cosmetic Surgery Associates PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 03, 2013

1001 WEST LOOP S, STE 813, HOUSTON, TX 77027(713) 960-1311(713) 960-1325 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lifeway Dermatology NPPES

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

LIFEWAY DERMATOLOGY (NPI 1164859229) is a healthcare organization registered as a specialist in Houston, Texas and active in the NPI registry since October 2013. The organization lists Anthony Phan Nikko, President, as its authorized official.

NPPES Registry Identity

NPI1164859229

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDERMATOLOGY & COSMETIC SURGERY ASSOCIATES PA

Location Address1001 WEST LOOP S, STE 813Houston, TX 77027-9084

Mailing Address1001 West Loop S, Ste 813Houston, TX 77027-9084 · (713) 960-1311 · Fax (713) 960-1325

Phone(713) 960-1311

Fax(713) 960-1325

Organization SubpartNo

Authorized OfficialAnthony Phan NikkoPresident · (713) 960-1311

Enumeration DateOctober 3, 2013

✔ NPI 1164859229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · K5639

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1001 WEST LOOP S, Houston, TX 77027

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Other Names 1

Doing Business AsLifeway Dermatology

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

UNITED WELLNESS GROUP LP

Dietitian, Registered

1001 WEST LOOP S, SUITE 850
HOUSTON, TX 77027

Harris County (877) 899-8996

EMC GLOBAL LLC

Case Management

1001 WEST LOOP S
HOUSTON, TX 77027

Harris County (267) 221-1724

DR. WILLIAM WALKER PEACOCK PSY.D.

Psychologist (Clinical)

1001 WEST LOOP S, SUITE 215
HOUSTON, TX 77027

Harris County (713) 621-9515

TARNOW AND ASSOCIATES, P.A.

Specialist

1001 WEST LOOP S, 215
HOUSTON, TX 77027

Harris County (713) 621-9515

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 Dermatology & Cosmetic Surgery Associates PA's NPI number?

The NPI number for Dermatology & Cosmetic Surgery Associates PA is 1164859229. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider is doing business as Lifeway Dermatology.

Where is Dermatology & Cosmetic Surgery Associates PA located?

Dermatology & Cosmetic Surgery Associates PA is located at 1001 West Loop S Ste 813, Houston, TX 77027. The listed phone number is (713) 960-1311.

What is Dermatology & Cosmetic Surgery Associates PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dermatology & Cosmetic Surgery Associates PA was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.