Boulavsky, Jessica Lynn

Boulavsky, Jessica Lynn is an individual health care provider with primary practice located at 20326 Tx-249 Suite 400, Houston TX 77070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Boulavsky, Jessica Lynn can be contacted via phone (281) 501-5599.

Contact Information

Primary practice address
20326 Tx-249 Suite 400 Houston TX 77070
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 274611 Massachusetts
Allopathic & Osteopathic Physicians / Dermatology 207N00000X R4193 Texas

Profile Details

NPI number 1508277468
LBN Legal business name Boulavsky, Jessica Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2014
Last updated Apr 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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