Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wylie Masterson Moody

Individual provider Dermatology Physician · NPI 1740920529

Wylie Masterson Moody is a Dermatology in Houston, Texas. Graduated from University of Texas Medical School at Houston in 2022, 4 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Trained at
University of Texas Medical School at Houston
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

12141 Richmond Ave
Houston, TX 77082-2408
Phone: (281) 558-3444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence V8697 (TX)

Record details

NPI number1740920529
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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