Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Lynn Boulavsky, MD

Individual provider Dermatology Physician · NPI 1508277468

Jessica Lynn Boulavsky, MD is a Dermatology in Houston, Texas. Graduated from Baylor College of Medicine in 2014, 12 years ago. Practices with Elite Dermatology, PLLC, a 26-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Texas.

Years since qualifying
12
Trained at
Baylor College of Medicine
Licensed in
MA, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20326 TX-249 Ste 400
Houston, TX 77070
Phone: (281) 501-5599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence R4193 (TX)
Dermatology Physician Taxonomy 207N00000X · Licence 274611 (MA)

Record details

NPI number1508277468
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2014
Last updated in NPPESApril 13, 2021
Certification dateMarch 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Elite Dermatology, Pllc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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