Active NPI
Elizabeth A Mullans, MD
- Dermatology Physician
- Houston, TX
National Provider Identifier
1679575146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- J7284
- Practice address
- 2211 Norfolk Street
Suite 200
Houston, TX 77098-4030 - Phone
- (713) 623-2336
- Fax
- (713) 623-4441
- NPI assigned
- Aug 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
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 |
|---|---|---|---|
| 8H8970 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Clinic of Houston Lab | Past | Accepting new patients | |
| Diagnostic Clinic of Houston | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1255304457
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1528031481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1679575146",
"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": {
"last_name": "MULLANS",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-13",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "J7284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8H8970",
"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 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.