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MODERN DERMATOLOGY PLLC
NPI 1356891576
Dermatology in Beaumont, TX

Active since October 12, 2016
3485 FANNIN ST, BEAUMONT, TX 77701(409) 835-4790(409) 835-2496 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Dermatology Pllc NPPES

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

MODERN DERMATOLOGY PLLC (NPI 1356891576) is a healthcare organization registered as a dermatology in Beaumont, Texas and active in the NPI registry since October 2016. The organization lists Trina West, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356891576
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMODERN DERMATOLOGY PLLC
Location Address3485 FANNIN STBeaumont, TX 77701-3807
Mailing Address3485 Fannin StBeaumont, TX 77701-3807 · (409) 835-4790 · Fax (409) 835-2496
Phone(409) 835-4790
Fax(409) 835-2496
Organization SubpartNo
Authorized OfficialTrina WestOffice Manager · (409) 835-4790
Enumeration DateOctober 12, 2016
✔ NPI 1356891576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · J3153
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.
3485 FANNIN ST, Beaumont, TX 77701
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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

Other Providers at the Same Location NPPES 2

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

NORMAN C MAY MD
Dermatology
3485 FANNIN ST
BEAUMONT, TX 77701
Jefferson County (409) 835-4790
CHELSEA REESE PA-C
Physician Assistant
3485 FANNIN ST
BEAUMONT, TX 77701
Jefferson County (409) 835-4790

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 Modern Dermatology PLLC's NPI number?

The NPI number for Modern Dermatology PLLC is 1356891576. It was assigned to this organization in the NPPES registry on October 12, 2016.

Where is Modern Dermatology PLLC located?

Modern Dermatology PLLC is located at 3485 Fannin St, Beaumont, TX 77701. The listed phone number is (409) 835-4790.

What is Modern Dermatology PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Modern Dermatology PLLC was last updated on October 12, 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.