Organization
UPTOWN DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANNE MULLANS M.D. (PRESIDENT)
(713) 623-2336
Entity
Organization
Contact information
Practice address
2211 NORFOLK STREET, SUITE 200, HOUSTON, TX 77098-4030
(713) 623-2336
(713) 623-4441
Mailing address
2211 NORFOLK STREET, SUITE 200, HOUSTON, TX 77098-4030
(713) 623-2336
(713) 623-4441
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J7284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005JY
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/16/2008
Last updated
08/21/2013
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