NPIMap

Organization Active NPI

Bullocks Plastic Surgery, P.L.L.C.

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1548590557
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
M5077 Issued in TX
Legal business name
BULLOCKS PLASTIC SURGERY, P.L.L.C.
Practice address
9122 Kapri LN
Houston, TX 77025-4202
Phone
(713) 218-9100
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jamal Bullocks, M.D.
Title
Manager
Phone
(713) 218-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X M5077 TX Primary

Addresses

Primary practice location

9122 Kapri LN
Houston, TX 77025-4202

Mailing address

2600 West Holcombe Blvd
Suite 179
Houston, TEXAS 77030
UM
Phone (713) 218-9100

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1548590557",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2600 WEST HOLCOMBE BLVD",
            "address_2": "SUITE 179",
            "city": "HOUSTON",
            "state": "TEXAS",
            "postal_code": "77030",
            "telephone_number": "713-218-9100",
            "fax_number": "713-665-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9122 KAPRI LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770254202",
            "telephone_number": "713-218-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLOCKS PLASTIC SURGERY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "BULLOCKS",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-218-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M5077",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 14, 2010; 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.