Individual
MS. JESSICA ELAINE BAULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 78256-2422
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05725
TX
363AM0700X
Medical Physician Assistant
3703
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195251703
—
TX
01
—
8880NF
BCBS
TX
Enumeration date
10/01/2007
Last updated
02/07/2019
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