NPI age
4 years
Enumerated 2022-03-30
● Active
Type 1 · Individual
Wylie Masterson Moody
Moody is 1 of 230 dermatology providers in Houston and 1 of 1632 in Texas.
Primary specialty
Dermatology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1632 active dermatology providers in Texas.
NPI age
4 years
↓ 12 yr below median (16 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-03Enumerated in NPPES
2022
2026
Where they practice
Practice location
12141 Richmond Ave
Houston, TX 770822408
Mailing address
6404 Nursery Dr Ste 201
Victoria, TX 779041688
Specialties
-
Dermatology PrimaryA 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...
Practice context
Part of a multi-provider practice. 105 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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