MEDICARE: ELZBIETA JANINA BARANOWSKA-DACA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	L5239	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P01090421	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00140216	OTHER		RAILROAD GBA #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8DF392	OTHER	TX	BCBS
4	8P5981	OTHER		BCBS #
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	DC0046	OTHER		RAILROAD GBA #
8	0029MC	OTHER		BCBS#
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154348142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELZBIETA JANINA BARANOWSKA-DACA MD

Provider Business Mailing Address
First Line	:	7777 SOUTHWEST FWY
Second Line	:	SUITE 1052
City	:	HOUSTON
State	:	TX
Zip	:	77074-1802
Country	:	US
Telephone Number	:	713-988-8776
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 SOUTHWEST FWY
Second Line	:	SUITE 1052
City	:	HOUSTON
State	:	TX
Zip	:	77074-1802
Country	:	US
Telephone Number	:	713-988-8776
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	11/02/2021

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