Active NPI
Uptown Dermatology PA
- Dermatology Physician
- Houston, TX
National Provider Identifier
1255505772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- J7284
- Legal business name
- UPTOWN DERMATOLOGY PA
- Practice address
- 2211 Norfolk Street
Suite 200
Houston, TX 77098-4030 - Phone
- (713) 623-2336
- Fax
- (713) 623-4441
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth Anne Mullans, M.D.
- Title
- President
- Phone
- (713) 623-2336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | J7284 | TX | Primary |
Addresses
Primary practice location
2211 Norfolk Street
Suite 200
Houston, TX 77098-4030
Mailing address
2211 Norfolk Street
Suite 200
Houston, TX 77098-4030
Phone (713) 623-2336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005JY | Other | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
2211 Norfolk St
Ste 200
Houston, TX 77098
Phone (713) 520-5450
1233 West Loop S
Ste 1050
Houston, TX 77027
Phone (713) 623-2336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377043200000",
"number": "1255505772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 NORFOLK STREET",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984030",
"telephone_number": "713-623-2336",
"fax_number": "713-623-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 NORFOLK STREET",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984030",
"telephone_number": "713-623-2336",
"fax_number": "713-623-4441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPTOWN DERMATOLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2013-08-21",
"status": "A",
"authorized_official_last_name": "MULLANS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-623-2336",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "TX",
"license": "J7284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0005JY",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Carissima Gori Uptmor, M.S., CCC-SLP
- Ashley Ren'Ee Upton, M.D.
- Dexter Upton, PT, DPT
- Terrence H Upton, DPM
- Uptown Dentistry, P.C.
- Uptown Family Chiropractic PC
- Uptown General & Cosmetic
- Uptown General & Cosmetic Dentisry, P.a. (Methodist Dental)
- Uptown General & Cosmetic Dentistry (Methodist Dental)
- Uptown Pediatrics PLLC (Milestone Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.