Organization
KELLEY EUBANK DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEY EUBANK MD (OWNER)
(713) 568-0708
Entity
Organization
Contact information
Practice address
5252 WESTCHESTER ST STE 242, HOUSTON, TX 77005-4141
(713) 568-0708
(713) 568-0709
Mailing address
3704 PLUMB ST, HOUSTON, TX 77005-2810
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
05/31/2019
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