Individual
JAMAL MORRISETTE BULLOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2813 WTC JESTER BLVD, HOUSTON, TX 77018-7004
(713) 715-7083
(866) 224-6704
Mailing address
2813 WTC JESTER BLVD., HOUSTON, TX 77018-7004
(713) 715-7083
(866) 224-6704
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M5077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189667206
—
TX
05
—
189667207
—
TX
05
—
189667208
—
TX
Enumeration date
03/30/2007
Last updated
10/05/2021
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