Organization
ALLUSTRA DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUNDHA BALARAMAN MD (PHYSICIAN)
(713) 868-5861
Entity
Organization
Contact information
Practice address
1740 W 27TH ST STE 315, HOUSTON, TX 77008-1437
(713) 868-5861
Mailing address
2429 BISSONNET ST # 552, HOUSTON, TX 77005-1451
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/19/2022
Last updated
11/19/2022
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