Individual
JESSICA LYNN BOULAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20326 TX-249, SUITE 400, HOUSTON, TX 77070
(281) 501-5599
Mailing address
20326 TX-249, SUITE 400, HOUSTON, TX 77070
(281) 501-5599
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
274611
MA
207N00000X
Dermatology Physician
Primary
R4193
TX
Other
Enumeration date
05/14/2014
Last updated
04/13/2021
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