Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelley Vidulich Eubank, MD

Individual provider Dermatology Physician · NPI 1083888119

Kelley Vidulich Eubank, MD is a Dermatology in Houston, Texas. Qualified in 2004, 22 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2008
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

5252 Westchester St Ste 242
Houston, TX 77005
Phone: (713) 568-0708
Fax: (713) 568-0709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7505 Main St Ste 300, Houston, TX 77030-4523 — (713) 799-1129

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence M4621 (TX)

Record details

NPI number1083888119
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2008
Last updated in NPPESMay 31, 2019

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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