OrganizationActive
Agewell Dermatology, PLLC
NPI 1063356459 · Physician Assistant · Cypress, TX
Provider details
- NPI number
- 1063356459
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Eric Brittain, Managing Member(843) 860-7703
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12320 Barker Cypress Rd Ste 600-1012
Cypress, TX 77429-8325
Phone: (281) 685-1005
Approximate (ZIP-level) locationGet directions
Mailing address
12320 Barker Cypress Rd Ste 600-1012
Cypress, TX 77429-8325
Registry dates
- Enumerated
- 2026-04-16
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.