# AGEWELL DERMATOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063356459
- **Authorized official:** DR. ERIC BRITTAIN MD (MANAGING MEMBER)
- **Authorized official phone:** (843) 860-7703

## Contact information

- **Practice address:** 12320 BARKER CYPRESS RD STE 600-1012, CYPRESS, TX 77429-8325
- **Practice address phone:** (281) 685-1005
- **Mailing address:** 12320 BARKER CYPRESS RD STE 600-1012, CYPRESS, TX 77429-8325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2026
- **Last updated:** 04/16/2026