Jamal Morrisette Bullocks
Plastic and Reconstructive Surgery
2813 Wtc Jester Blvd
Houston
, Texas 77018-7004
Jamal Morrisette Bullocks
Plastic and Reconstructive Surgery
2813 Wtc Jester Blvd
Houston
, Texas 77018-7004
(866) 224-6704
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Jamal Morrisette Bullocks
- 2813 Wtc Jester Blvd.
- Houston, TX
- Zip : 77018-7004
- Fax : (866) 224-6704
- Phone : (713) 715-7083
Second Address
- Jamal Morrisette Bullocks
- 2813 Wtc Jester Blvd
- Houston, TX
- Zip : 77018-7004
- Fax : (866) 224-6704
- Phone : (713) 715-7083
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | M5077 | TX |
National Provider Identifier
| NPI | 1134249451 |
|---|---|
| Provider Name | Jamal Morrisette Bullocks |
| First Address | Houston, TX 77018-7004 |
| Second Address | Houston, TX 77018-7004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2007 |
| Last Update Date | 05/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 189667206 | (05) | TX |
| 189667207 | (05) | TX |
| 189667208 | (05) | TX |
| I74274 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.