Organization Active NPI

Uptown Dermatology PA

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1255505772
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
J7284 Issued in TX
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

Updated by the provider on Aug 21, 2013

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0005JYOtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.