Cinco Ranch Dermatology, P.A.

Dermatology in Katy, TX. Organization (NPI-2).

NPI number1780926733

StatusActive

Last updated in NPPESMay 6, 2021

Details

NPI: 1780926733
Entity type: Organization (NPI-2)
Legal business name: Cinco Ranch Dermatology, P.A.
Organization subpart: No
Enumeration date: Mar 17, 2013
Certification date: May 6, 2021
Last updated: May 6, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207N00000X	Dermatology	P4855	TX	Yes

Other names

Cinco Ranch Dermatology (Doing Business As)

Practice location

23050 Westheimer Pkwy
Katy, TX 77494-3596

Phone 281-394-9500 · Fax 281-394-5350

Mailing address

23050 Westheimer Pkwy
Katy, TX 77494-3596

Phone 281-394-9500 · Fax 281-394-5350

Authorized official

Kelly B Conner
Owner / Authorized Official
2813949500

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dermatology Physician providers in Katy, TX

All 26 Dermatology Physician providers in Katy · All 7,970 providers in Katy

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check