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HUMBLE DERMATOLOGY PLLC
NPI 1679064968
Dermatology in Humble, TX

Active since May 23, 2018CLIA 45D2150868 · Microscopy
18980 NORTH MEMORIAL DRIVE, STE. 200, HUMBLE, TX 77338(281) 707-6400(281) 584-6432 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2021, Dec 7, 2020, May 23, 2018 (3 updates tracked since 2018).

About Humble Dermatology Pllc NPPES

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

HUMBLE DERMATOLOGY PLLC (NPI 1679064968) is a healthcare organization registered as a dermatology in Humble, Texas and active in the NPI registry since May 2018. The organization holds a CLIA Microscopy certificate valid through July 5, 2028 and lists Prince Egesi, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1679064968
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHUMBLE DERMATOLOGY PLLC
Location Address18980 NORTH MEMORIAL DRIVE, STE. 200Humble, TX 77338
Mailing Address18980 North Memorial Drive, Ste. 200Humble, TX 77338 · (281) 707-6400
Phone(281) 707-6400
Fax(281) 584-6432
Organization SubpartNo
Authorized OfficialPrince EgesiPractice Manager · (281) 707-6400
Enumeration DateMay 23, 2018
Last NPPES UpdateMarch 23, 20213 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1679064968 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.
18980 NORTH MEMORIAL DRIVE, Humble, TX 77338
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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

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) 45D2150868

Humble Dermatology · Humble, TX
Active · expires Jul 5, 2028
CLIA Number45D2150868
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorAdaeze Egesi
Laboratory Phone(832) 955-4426
Laboratory LocationHumble Dermatology18980 North Memorial Drive, Suite 200, Humble, TX 77338
CLIA data matches this NPI record on: Address Name
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.

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 Humble Dermatology PLLC's NPI number?

The NPI number for Humble Dermatology PLLC is 1679064968. It was assigned to this organization in the NPPES registry on May 23, 2018.

Where is Humble Dermatology PLLC located?

Humble Dermatology PLLC is located at 18980 North Memorial Drive Ste. 200, Humble, TX 77338. The listed phone number is (281) 707-6400.

What is Humble Dermatology PLLC's specialty?

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

Does Humble Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2150868) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Humble Dermatology PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Humble Dermatology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Humble Dermatology PLLC was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.