JAMAL MORRISETTE BULLOCKS M.D. NPI 1134249451

NPI Information

Jamal Morrisette Bullocks, M.D. is a plastic and reconstructive surgery surgery in Houston, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. Jamal Morrisette Bullocks, M.D. NPI is 1134249451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2813 WTC JESTER BLVD
HOUSTON, TX
ZIP 77018-004
Phone: (713) 715-7083
Fax: (866) 224-6704

The NPI 1134249451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 10/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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