P Praxis·MD
● Active Type 1 · Individual

Wylie Masterson Moody

Dermatology·Houston, TX· NPI 1740920529 · Enumerated 2022 · 4 years on NPI
Moody is 1 of 230 dermatology providers in Houston and 1 of 1632 in Texas.
NPI age
4 years
Enumerated 2022-03-30
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
📞 2815583444
Mailing address
6404 Nursery Dr Ste 201
Victoria, TX 779041688

Specialties

  • Dermatology Primary
    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...
    TX license #V8697 taxonomy 207N00000X

Practice context

Part of a multi-provider practice. 105 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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