MEDICARE: GIOVANNA ELIZABETH MARIANO 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	207Q00000X	Family Medicine Physician	036129705	IL
2	207Q00000X	Family Medicine Physician	Q0185	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265608293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIOVANNA ELIZABETH MARIANO MD

Provider Business Mailing Address
First Line	:	8022 ROYAL CREST CT
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-4566
Country	:	US
Telephone Number	:	305-213-0551
Fax Number	:

Provider Business Practice Location Address
First Line	:	14211 FM 2920 RD STE 110
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77377-5505
Country	:	US
Telephone Number	:	281-737-1910
Fax Number	:	281-737-1911

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	01/06/2025

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