KELLEY VIDULICH EUBANK (NPI# 1083888119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083888119 |
| Entity Type | Individual |
| Full Name | KELLEY VIDULICH EUBANK |
| Credential | MD |
| Practice Address |
5252 Westchester St Ste 242 Houston TX 77005 |
| Mailing Address |
5252 Westchester St Ste 242 Houston TX 77005-4141 |
| Practice Telephone | 7135680708 |
| Practice Fax Number | 7135680709 |
| Mailing Telephone | 7135680708 |
| Mailing Fax Number | 7135680709 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | M4621 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7505 Main St Ste 300, Houston, TX 770304523 | 7137991129 |
| Street Address |
5252 WESTCHESTER ST STE 242 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033772132 | Kelley Eubank Dermatology Pllc | Dermatology | 5252 Westchester St Ste 242, Houston, TX 77005-4141 | 2019-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952884322 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2518 University Blvd, Houston, TX 77005 | 2018-09-12 |
| 1669987939 | Rebeca Matamoros | Dietitian, Registered | 6311 Buffalo Speedway, Houston, TX 77005 | 2017-12-08 |
| 1518494863 | Cscb Rehabilitation Management Group, LLC | Substance Abuse Rehabilitation Facility | 1 Lile Court, Suite 103, Little Rock, AR 77005 | 2017-05-17 |
| 1194273490 | Yashika Pande | Dentist | 6137 Kirby Dr., Houston, TX 77005 | 2016-09-14 |
| 1932653300 | Ally Surgical First Assist.llc | Registered Nurse | 1747 Wroxton Ct Suite 1, Houston, TX 77005 | 2016-08-15 |
| 1477892966 | Kelli Galle | Nurse Practitioner | 2455 Dunstan Rd Ste 360, Houston, TX 77005 | 2013-02-05 |
| 1831448778 | Hsre-bridgewood Trs II, LLC | Alzheimer Center (Dementia Center) | 4141 N. Braeswood Blvd., Houston, TX 77005 | 2012-09-06 |
| 1013213313 | Ramsey Rice Village Pllc | Dentist | 2402-c Rice Blvd, Houston, TX 77005 | 2011-02-03 |
| 1679873889 | Advance Plus Therapy Services, LLC | Speech-Language Pathologist | 2429 Bissonnet Street, Suite E766, Houston, TX 77005 | 2010-10-22 |
| 1346492410 | Deniece Christ-rice | Social Worker | 5311 Kirby Dr Ste 204, Houston, TX 77005 | 2008-10-21 |
| Find all providers in zip 77005 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1407403330 | Houston Premier Dermatology, Pllc | Dermatology | 915 Gessner Rd Ste 370, Houston, TX 77024-2564 | 2019-08-26 |
| 1942864830 | Dermatology Associates of Texas Pllc | Dermatology | 153 Surf Ct, Houston, TX 77058-3714 | 2019-04-25 |
| 1831655315 | Baylor College of Medicine | Dermatology | 3743 Westheimer Rd Ste A, Houston, TX 77027-5227 | 2019-02-20 |
| 1841756236 | Nikko Dermatology, Pllc | Dermatology | 4707 Eigel St # B, Houston, TX 77007-3417 | 2019-02-11 |
| 1578044194 | Half Penny Holdings | Dermatology | 915 Gessner Rd Ste 640, Houston, TX 77024-2538 | 2018-08-22 |
| 1588156293 | Pearl Dermatology Pllc | Dermatology | 550 Post Oak Blvd Ste 550, Houston, TX 77027-9497 | 2018-05-30 |
| 1790227221 | Lauren S Campbell Md Pa | Dermatology | 310 Paul Revere Dr, Houston, TX 77024-6111 | 2016-11-15 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.