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Active NPI 1760192017 Organization (Entity Type 2)

Androderm X Llc

Clinic/Center - Primary Care • Webster, TX

About Androderm X Llc NPI 1760192017 Summary

Androderm X Llc is a verified healthcare organization specializing in Clinic/Center - Primary Care operating in Webster, TX. Located at 18201 GULF FWY, this facility provides patient care and medical services under National Provider Identifier (NPI) 1760192017.

Administrative operations and authorized compliance are overseen by Humaira Qureshi (Billing Manager).

Facility Location & Contact Primary Location

Facility Address

18201 Gulf Fwy

Webster, TX 775983805

Telephone 2819546200

Authorized Official Information

Authorized Contact Name

Humaira Qureshi

Title / Role

Billing Manager

Official Telephone

2817128033

Facility Classifications & Specialties

Clinic/Center - Primary Care Primary Taxonomy

NUCC Taxonomy Code: 261QP2300X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active November 28, 2022

NPI status registered as active in NPPES database

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Updated Practice Location November 28, 2022

Registered at 18201 GULF FWY, WEBSTER, TX 775983805 (Tel: 2819546200)

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Updated Business Mailing Address November 28, 2022

Registered at 18201 GULF FWY, WEBSTER, TX 775983805 (Tel: 2819546200)

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Organization / Clinic Name Updated November 28, 2022

Operating as ANDRODERM X LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2022

Clinic/Center

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Initial NPI Registration & Enumeration November 28, 2022

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1760192017
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 28, 2022
Last Update: November 28, 2022

Mailing Address

18201 Gulf Fwy

Webster, TX 775983805

Phone: 2819546200

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.